HomeMy WebLinkAboutDrain Layers Permit 84 Stonefield Trail (2) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER"S PERMIT 0 3560
Pursuant to written applic tior, permission is hereby anted to the Licensed Drain Layer named herein to perform
i per(
the work indicated below at (y O 1 on the
side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for
occupancy or use,
with Family Units, with acres.
t Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES OR ( j
Connection will be made with
Permit to be issued to
the holder of Drain LayeX's„License 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.
for street excavation. .
— -— ---SPECIAL CONDITIONS _ _ _
�/ Signed
Connection Charge Paid 'yid U Licensed Drai Layer
u•cC- Qa- 4 Issued by
-Tax Collector
ix 1' Permit Fee:. Paid $
INSPECTION: Check Number: y�d�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR