HomeMy WebLinkAboutDrain Layers Permit Oakland Road - Wappi TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
- South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER'S PERMIT N? 2447
(J
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Pursuant to written applicatior, permission iis.hereby granted
to the Licensed Drain Layer named herein to perfo
the work indicated below at, 01 ?��� on tH
side, between
at premises owned by l
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE { ), INDUSTRIAL WASTES.( ), OR ( ) —
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set foith on the permit and the reverse side
thereof. Applicant has receiv�d Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid !1&0,00 Licensed Drain Layer
Issued by
Tax Collector v
Permit Fee: Paid ._�� �
INSPECTION: Check Number:
INITIAL Si C�/GJIl�J
( g)
FINAL (Sig)
APPROVED (Date)
\ INSPECTOR (Sig)