HomeMy WebLinkAboutDrain Layers Permit 140 Bayberry Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 1
List.No.: _
DRAIN LAYER'S PERMIT
O 1230
, 1
977
Pursuant to written appliiccatiioor, permission is her7eel-,w
granted t� Licensed Drain Layer named herein to perform
the work "'cat�gC low at �/V Q1f !/ on the
side, betwe n JV
ff
at premises owned by /6 I Q�ff
whose addr s 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 Yam', INDUSTRI L WASTES/ ), OR ( )
Connection will be made with
Permit to be issued to J2
the holder of Drain Layer's License No. y '2044 / 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. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid -26 7 Licensed Drain Layer Ghp
Issued by
Tax Collector _
Permit Fee: Paid $ __ A:00
INSPECTION: Check Number: 04K&
INITIAL (Sig)
FINAL (Sig)
APPROVED !� -7 7 (Date)
(Sig)
INSPECTOR
5'
NOTES SOUTH WINDSOR P LLUTION CONTROL
LOCATION cS err roe
OWNER
TYPE OF WORK
DATE L -77 PERMIT/�3'() PIPE °
INSTALLER G=
INSPECTOR DRAWN BY �G--
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F
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{. 4a✓ INS,'+ ,$i w A I ++ 1.,
al
OWN N 1 Ant
M I
I �
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . ` 77 . . . . . . .
The Sanitary Sewer .';;�. . . . Septic System ... . . . . ... . .
at . /. . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted a Approved
By ��PK /,_ 5--26 -77
� Date