HomeMy WebLinkAboutDrain Layers Permit 179 Bayberry Trail a
TOWN OF SOUTH WINDSOR
r ! DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT N? 1291
�- 12- , 1977
Pursuant to written applic for per ssion is h eby gr ted to the L��sed rain Layer named herein to perform
the work indicat d low at �✓ Z� /C/� on the
/v0 side, between r
at premises owned by
whose addre 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 X,, INDUSTRIAL- ASTE OR ( )
Connection will be made with V17
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 / Licensed Drain Layer
_ ` Issued by
Tax Collector
Permit Fee: Paid $ _/�?__ 0
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED �2 (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 3 f cE r=,'� ,/" `,i'
OWNER �
TYPE OF WORK
DATE —/1- 77 PERMIT r PIPE C
INSTALLER --
INSPECTOR C 1 DRAWN BY 'J ( I
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date �f
The Sanitary Sewer " • . • Septic System . . . . ... . . . .
17
at . . gyp.
. . . . . . . !� . . . .
or lot #. . . . . . . • • • • has� en in to d and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accept e d Approved
B C�. I�� O ° Date a