HomeMy WebLinkAboutDrain Layers Permit 021 Austin Circle TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
b DRAIN LAYER'S PERMIT 5 766
S /L
Pursuant to written application, 19
Licen d ain permission is hereby
� / � er named herein. to Y granted to the
perform the work indicated belo at
whose address is at Prem�s:$ o ned by
Lay House Drain o o , , e`,.,
for ' Repair ouse Drain, La Main and to
y Oth r
Family Units, with occupancy or use, with
acres.
Type of Sewage to be connected under this permit: SANITARY
INDUSTRIAL WASTES ( ) , OR ( ) SEWAGE
Connection will be made with
Show sketch of �Gt1 Pr �
Proposed work or furnish two (2) opies of separate drawings.
SPECIAL CONDITIONS r
dare �i�t ecs �
� e
Desired Starting Date �
Estimated Time for Completion Permit to be issue to 'A,41 J"F4c /M.�
the holder of Drain Layer's License No, — "NS
(30) days after date of issuance. �D gS Permit will expire thirty
to all the terms and conditions setTforthdinstheepermitnandythehrever agrees
thereof. Applicant has received Town Permit No. reverse side
CHD Permit No. ��� and/or
Signed
Li sed rain Layer
The above named Drain Layer has a vali license issued by the State o
Connecticut and has filed a satisfactory bo d and insurance polic f
name of the Town of South Windsor: y in the
n ine r g Dept.
�e
Permit Fee Paid $ ZS' pU Date
' Chec N tuber �/�
onnection Charge Receipt No. 4- 16
Dated
Issued by
PECTION
e work started
ficient notifica on rece ve ; Date completed
ial Conditions es No
APPROVED:
Inspector Date