HomeMy WebLinkAboutDrain Layers Permit 853 Strong Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.:
DRAIN LAYER'S PERMIT
° 3558
, 19
Pursuant to written application, permission is hereby granted to the Licensed Drain
& � 3 Layer named herein to perform
the work indicated below at
side, between on the
at premises owned by
whose address is
and to Lay House Drain;
\ Repair House Drain, La Main
for y Other
with occupancy or use,
Family Units, with
Type of Sewage to be connected under this permit: acres.
SANITARY SEWAGE ( j, INDUSTRIAL WASTES -
Connection will be made with )� OR
+4
\=Permit to be issued to
the older of Drain Layer's License No.
f The undersigned Drain Layer hereby agrees to all the terms and conditions setPermit lf x hiron thy,, ermu and th
19
there f. Applicant has received Town Permit No. ip a reverse side
for s et excavation. and/or C H D,Permit No.'`°
E L-CQND -T'IONS -----_- -- - <- -- - - _ — -- � - _ -- -- - ---
Connect' arge Paid Q'7/ �� Signed
`Licensed Drain Layer
Tax Coll or Issued by
Permit Fee:. Paid $ �J� Z 1p
INSPECTION: Check Number:
INITIAL
INAL (Sig)
PROVED
(Sig)
(Date)
INSPECTOR (Sig)