HomeMy WebLinkAboutDrain Layers Permit 59 Troy Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
fourth Wisdom, Cosmonaut FIE No.:
Lis[ No.:
DRAIN LAYER 'S PERMIT N4 3323
6 S , 19AZL
Pacauax to "dren appli ti , Permissionis hereby record to the Licensed Dain Layer named Famous as Perform
the work indicated Eelow at on the
aide, barn
at premises owned by 'Joti.^L
whose shimmer ss
nM to _Lay Name Drain, _Repair Noose Dori,, _Lay Main, _Other
for
apmay or use,
wirb Family Units, with es.
Type of Sewage to bar connected harder this permit
SANITARY SHWAGE ( j, INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
Permit to be cashed to
the holds, of Drain Layer's Lifeose No. Permit will spire on 19_
The mdomigmd Drain Layer heeby agrees w all the terms and mons itiona set inch , t p m'nTehe reverse side
thereof. Applicant Lee resolved Town Permir No. and/w C H D Permit No.
for sP set eacavadon.
SPECIAL CONEMONS
Cannec[' Iu[gne ,P�aLLd /[sd " Sagnea Licensed Mao Layer
` Y�tdh Ta Issued by
a Cnllectn �f
Permit Pay; Paid g /? _,.6 /1 b
INSPECTION: aM: Number:
INITUL (Sig)
FINAL (Sig)
APPROVED (Dam)
INSPECTOR (Sig)