HomeMy WebLinkAboutDrain Layers Permit 81 Stonefield Trail VFW
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT lrp 570
190
Pursuant to written applic�tior, per scion is h by granted to the i nsed Drain Layer named herein to perform
the work indicated below at ��'Y / g i
{ on the
side, between.
,at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay in, Other' ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit: .
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's aLicense No. Permit will expire on 19
The undersigned Drain Layer,hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or,C H D Permit No.
M. for street excavation.
- -- _--SPECIAL CONDITIONS _ -- - -
Signed Qtk all
Conner ' Charge Paid OJ l/7/ L' Drain La r
Issued by
tl Tax Collector
Permit Fee: Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR