HomeMy WebLinkAboutDrain Layers Permit 99 Stonefield Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT �O 3568
19
Pursuant to written applic tior, ermission is here graated to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by 1/-i
whose address is
and to Lay House Drain, Repa-ir House Drain, Lay Main, 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 I:icense 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 Ll
Con ion Charge Paid / S Licen rain La er
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: �3<
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR