HomeMy WebLinkAboutDrain Layers Permit 175 South Satellite (2) t TOWN OF S9 WINDSOR
i DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor', Connecticut
List.No.: __Jpn
DRAIN LAYER'S. PERMIT NO* 522
Amie 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below.at on the
side, between'w t
at premises owned by ,to as %suit
whose address is
and to Lay'House Drain, Repair House Drain, Lay Main, .Other ON06 ,
for occupancy or use,
with Family Units, with;. acres.
Type'of Sewage to be connected under this permit:
SANITARY SEWAGE (I ), INDUSTRIAL WASTES .( )I OR
Connection will be made with CI� -1�e �+ Cs
Permit to be issued to .
k.
t holder of Drain La er's License No.
o Permit will expire on c 1
xhe,=undersigned Drain Layer hereby agrees to all the terms and"conditions set forth on the permit and t e reverse si'Se
Shereof. Applicant has received Town Permit No. and/or C H D Permit No.
c ,. r street excavation.
- s,
SPECIAL CONDITIONS
Signed i .
Connection Charge Paid '' Lace�e Drain Layer
it w A 8�ft JAI*_ Issued:by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: /°r-- "`
INITIAL a `.- {` /Q rr 00 o o9? (Sig)
FINAL ,� !J ? 741 (Sig)
APPROVED ,' '�' ... Y _ � (Date)
(Sig)
INSPECTOR