HomeMy WebLinkAboutDrain Layers Permit 10 Barber Hill Road TOWN OF SOUTH WI NDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT W-39014
b . 19 d�
Pursuant to written application, permission is h r by ranted to the Licensed Drain Layer
named herein to.:perform "th work indicated. be ow at
%! %'� �;: d .
at premises owned by l -Q whose address is
and
Lay House Drain, Repair'YIouse Drain, _ Lay''Main, Otnr ,
for occupancy or use, tti'
Family Units, with acr`es...
I
i
Type of Sewage to be connected under this permit: SANITARY S 1.EWAGE INDUSTRIAL
,
WASTES , ( ) _
( ) OR O Connection will:be. made with
i
Show sketch of proposed ,work'or furniah'two' (2) copies of separate drawings. `
SPECIAL CONDITIONS..
Desired Starting Date - EstimatedTime::for.Completion ,.
Permit- to be issued ,to'
the holder of Drain Layer:'s ,License No Z.o7 9 f 6 Permit w3ii expire "thsrty` (3O) days
after date of issuance. The undersigned Drain Layer hereby agrees "�to all the te�s'and
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No:. - .an
d/or-GHD.:Rerm t No.,
_ =Signed
Liensed Drain;Layet,
The above named Drain Layer has, a�valid license issied' by the Stone `of Connecticut and
has filed a satisfactory bond and insurance polity :the "na of the Town of Soutl `Windsor:
46
En g-ineering,Departm nt. Date
onnection Charge Paid Permit Fee -Paid' $ (J
Check Number ��
Issue2AY e
d « ;.
Tax Office
SPECTION
to work started Date completed
fficient notification received: Yes No
ecial Conditions
APPROVED:
Inspector pate