Loading...
HomeMy WebLinkAboutDrain Layers Permit 161 Bayberry Trail TOWN OF SOUTH _WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List.No.: DRAIN LAYER'S PERMIT NO 1206 19 Pursuant to written application, permission s hereb granted to the Licensed pfain Layer nam d herein to perform the work indicat d below at © to / ,' )r'`� F ''' f / on the side, between 1 � �' r 300 oa f premises owned by I whose dress 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 W4STES .( ), OR ( ) Connection will be made with h Permit to be issued to the holder of Drain'Layer's License No. 2 Permit will expire on 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 Drai ayer - Issued by Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED (Date) % �f (Sig) INSi j CTOR /6 74 Z fr3 , NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION a { i OWNER TYPE OF WORK c� DAT - 7 PERMI 1Q PIPE 717 �! INSTALLER z INSPECTOR ,,! DRAWN BY =16, �� TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, cONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . . . . . .7 The Sanitary Sewer x . . . Septic System . . . . —r' at . . . . . . . . . . . . . . .--/ n installed and completed or lot 4 . (//1' . ha/en in accordance with the.Town of South Windsor ordinances and regulations. AcceptTd Approved 7 By Date ­ b v