HomeMy WebLinkAboutDrain Layers Permit Lot 7 Tumblebrook Dr -r. TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'-S PERMIT N? ` 17 $
a- , 19 79
Pursuant to written applicatior, permission is hereby granted to the is pnsed Drain.Layer named herein to perform
the work indicated below at *L -7 �C on the
side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Dr in, - Lay Main, Other
for occupancy or use,
with Fam' y Units, with acres.
Type of Sewage to be connected under this permit:
-SANITARY- SEWAGE ( �,jNDUS'TRIAL.WAS S :( ), OR
Connection will be made "th
Permit to be issued to i r
the holder of Drain Layer's Lice se No. ermit will expire on 19
The undersigned,Drain Layer her by agrees t all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received wn Permi No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed "iIA cLf
Connection Charge Paid 3/7� Licensed r Layer
AX 13R) Issued by
:Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)