HomeMy WebLinkAboutDrain Layers Permit 194 Bayberry Trail t
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
f South Windsor,.Connecticut *^
List No.: �3 .
DRAIN LAYER"S PERMIT N? 1286
Pursuant to written app * atior, permission is h reby granted to the Licensed Drain Layer named herein to perform
the work in is red be w at � Y � on the
r
side, �'
at premises owned by
7
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 XJ, INDUSTRI�i. WAS OR
with—
Permit 6 <<
( )
/\
Connection will be made
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
Q Signed
Connection Charge Paid Licensed Drain Layer
�-�J ?Z Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED — (Date)
j'r6 (Sig)
INS CTOR
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NOTES SOUTH WINDSOR POLIXTION CONTROL
LOCATION 2 T /';
OWNER
TYPE OF WORK ten•
DATE o ! PERMIT PIPE
INSTALLER H,%T, —
INSPECTOR DRAWN BY G
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date 30' 7 7
The Sanitary Sewer . . . . Septic System . . . . . . ... . .
at
or-lot #. . . . . . . . . . . . . , has been installed and. completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepte a Approved
ByC—� 6� � ,rC�> Date
% _--