HomeMy WebLinkAboutDrain Layers Permit 079 Bayberry Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER"S PERMIT N0 1219
`W.�7)0 19�f
Pursuant to written app ica for permissio is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �� /'�/ on the
side, betwe n
at premises owned bye
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 (�, 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 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 ensed Dr Lay
- Issued by
Tax Collector _
Permit Fee: Paid $ --AA C
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED � " J (Date)
- , A
r
(Sig)
INSPECTO
N
l
n�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION71177
OWNER �
TYPE OF WORK '
DATE ,'- t';'- I PERMIT / ' PIPE
INSTALLER -' e
INSPECTOR DRAWN BY / <i
4r
077 -7
-- - -
--- -- - -- --- -- - -- ---- -- -- - --------- . ---- F-z-U__ — - � - -- --- —
Vv .
Y
l .iz
3a S o�.
A . 3-
* ` TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date ,.. �' ? . . . . . . .
The Sanitary Sewer . . . . . Septic System ... . . . . . . . .
at . . .� ` . . . . . . . . .. . t . . .,fly
t
or lot #. . . . . . . . . has l e/n installed and completed
17
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and A proved
B �. _ `� Date
Y ,