HomeMy WebLinkAboutDrain Layers Permit 152 Bayberry Trail . TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT Np 1220
= I�' , 19
Pursuant to written app ca or, erm' sion is hereby granted to the Licensed Drain Layer na herein to
p—erfor—m
the work indicated below at / #IS2 /ud• on the
side, between
(51
at premises owned by t
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 (X, INDUS IAL WASTES . ), OR ( )
/ �yConnection will be made with 7
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 forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. an or C H D Permit No.
for street cavation.
C I. CONDITI to
6 G - UA Zt•
Signed
Connection Charge Paid ense rain Layer
- Tax Collector Issued by
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig) .
APPROVED p (Date)
�. k�J`t%jy( (Sig)
INSPECTOR
t
+ 1
a.
t
„ I
r
a
1
I.m.., � .t � •� a va
1"
. a,.i 'i:.... .�� •C. .r :�H .t• �.:',.. :- S.A'.. ~ �.: .u. t �'.• i:: r � ..r �. .♦ ..�F � �.. ���'" .1�r .+,..
G �
S�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -
OWNER
TYPE OF WORK
DATES=/ -7 PERMIT yyo PIPE �� G
INSTALLER
INSPECTOR GC/` DRAWN BY FCC
TOWN OF SOUTH WINDSOR
TOWN ALL
SOUTH W ND ORH CO
NN. 06074
DEPARTMENT POLLUTION CONTROL
Date . , , A�,
The Sanitary Sewer
Septic System
at ��'z 1,5 �a ef- ��
1,
or lot #. . :-�7 . . . . . . . . . . .
. • • . . . has installed
in accordance with the Town of South Windsor completed
and regulations. ordinances
Accepted an proved
By f' —
--_ Date