HomeMy WebLinkAboutDrain Layers Permit 204 Tumblebrook Driv TOWN .OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: 0
PD.RAIN LAYER"S PERMIT NO 1643
'�►�' 19
Pursuant to written appl!ca!o5r, permission is hereby granted,to the Licensed Drain Layer named herein toperform
the work indicatedybelow at / �,, / --r ° ,: on the
side; between
at premises owned by
whose address is
and to "L'ay'liouse Dta n, ' Repair'Housb Drain, Lay'Main, Other
z
for.
occupariEy or use,
with - p,Family Units, with � ,:acres,:
Type of Sewage to be co ected under this permit: -
- SANIT'ARY-SPWA I} Y` - - -
. �,.INDUSx`RIAL WS`.(' t), OR {
Connection will..be made with
} *r.
Per'Wt tq:be.is$ued to •. _
the holder,of Dra'i Layfr's License�No. ':Permit will`e$pire osl 19
The undersigned ;afn 1:ayer l�ee�y a ;ees tq all the terms and conditions set forth ot�t e pert an t e reverse side
r;.. ..
F
thereof., Applicant has received Town Permit No. "andJ$i C H L) PL7r iit No:
for street excavation
`'SP`ECIAL �CONDITION3
Signed
Connection Charge Paid .'Lleebs�ed r ayer .
�J' Y Yl
Issued by
Tax-Collecto
jam— p CJ
Permit Fee:. Paid $
INSPECTION: Check-Number, d 9 `
INITIAL (Sig)
FINAL Sig)
-APPROVED Date)
SPE ( ig