HomeMy WebLinkAboutDrain Layers Permit 40 Sunnyside Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _
South Windsor, Cenmefirst
Lrt No, _
DRAIN LAYER ' S PERMIT NTQ 3435
Lh iip> I 1 19 8y —
pummumm, to written pplic P si,D is here b���\geuvoed m the Luelsed Duel, Lay m Rd retire doctrine
the woh rod alhelwR�l0 on4NQ QO VJtA on the
tde., beyy�'' epP�
at pre tse owned by
eV .
whose address is
and to as House Drain, —Repair House Doie, _Lay Meiq _Orhee
Sir ocrupancy ov use,
with Pamily Units, with
.Type of Sewage to be canvecmd under this permit
SANPPARY ORNAGE ( .0 INDUSTRIAL tyASIFS ( ), OR I )
Comecrioe will be read, with
Permita he issued in
the hold,, of Occur LByet s Lic ee No. Pet will select, n l9
Theundersigned Dole Layer.hereby agree, to all the toms and covditioos set forth oa the petmtt Zip aide
thereof. Applicant be received Town Permit No. ,ed/,, C H D Permit No:
fee ,tree due.
SPECIAL CONDITIONS
lid
C 'on Charge Paid l,�h. 0��, �"�I Eigvea
r ,L d D ain Layer
pyPl ,L ✓ t s Itself by
Permiticce eala s 16. 06
INSPECTION: Check Numler:
INITIAL (sy)
FINAL (HIjO
APPROVED (Date)
(Sig)
INSPECTOR