HomeMy WebLinkAboutDrain Layers Permit 192 Tumblebrook Driv --
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL ,
!{ B/P No.:
South Windsor, Connecticut
List.No.. ,;2 .
y. DRAIN LAYER'S PERMIT
_ -- NO. 1717
�'u,�►tbCa,l�j ovlL
Pursuant to written applicatior, permission is he granted to the Licensed Drain Layer named herein to"perform
the work indicafed below'atb
f---�r— on the
side, between
at premises"owned by
' whose address is
and to ny`Ht,uae`Drain, Repair Douse Drain; Lay Main, Other
- ----r------ - -0
for: �� •� ,. e
occupancy or use,
wth �� Family Units, with•. acres..
Type of Sewage to be.co ifected under this permit:
--- SANITARY-S$WA;GE (. Il�T1 USrI'RIAL DyASTES .( ), OB
` Connection will"be made with
Permit to'be'issy�d to, 1'M 9 f r
9! _
the holder,of Drain Layer's License Xo. Permit will expire on 19
The undersigned,btam Layer hereby agrees to a11'the terms and corid1tions.s6i forth on the permit an the reverse side'
thereof. ,Applicant has received Town;•Permt"No. and/or C H D Permit No
for street excavation.
r
SPECIAL CONDITIONS ,..
9 L Signed
Connection Charge Paid : / .7 License(dr Layer
Issued"by 1-5
Tax Collector
U
Permit Fee:. Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
S
APPROVED ! : (Date)
i EC*OR ��2
(Sig)
i