HomeMy WebLinkAboutDrain Layers Permit 050 Bayberry Trail TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut '
List.No.:
DRAIN LAYER'S PERMIT 1193
19
Purs'uant to written application, permission is hereby granted to the Licensed Drain L er nameo hhS ein to perform
the work indicate below at Y' �� Q el-n-✓ ��Cl�/ , #�j d ���v' on the
side, between
at premises owned by
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), 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 Q 7- .
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid
thereof. Applicant has received Town Permit No. and/or C Permit No.
for street excavation.
P CIAL CONDITIONS. 101lel —
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1 / f
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r
Signed oL L_
Connection Charge Paid -ei Licens-ed Hiain-'Layer
ly-
- Issued by
Tax Collector
Permit Fee:. Paid V
w
Check Number c -z 7• " l'a
INSPECTION: - V��
INITIAL ". (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSP CTOR
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=_ LOT Gti 11"I'DI RTr:i r-{i `r-r -7:
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,.v TOWN OF SOUTH . ; ,. { a .T`
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'. Feb
rLary 18; 'Ili
Elev. base = 6.
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- -- - - - -
.. a. TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date ,7, `.2.-77. . . . . . . . . . .
The Sanitary Sewer .x . . . . Septic System ... . . . . . . . .
at .Sa. . . ��f 6 �/. ` /!. . . . . . . . . . . . . . . .
_ j
or lot #. . JT . . . . .6as been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted nd Approved )y� ///��/J
By ' �� E�!/J �l' Date J—� —