HomeMy WebLinkAboutDrain Layers Permit 70 Beechwood Lane :,. - ... .;.:. ., _-ia-a;r+ ..,:.. .s.,,ka:;n-s.M19anrrFt?fi�'�Fi'"'�i�•�t�`9f�4Y¢':i�'fi+6 .`�' _."'' .,e-.ca.'t�•
g TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
0 BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 57
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Pursuant to written application, permission is hereby grante to the Licensj�d min Layer
named herein to perform the work indi�jted below at
at premisggs owned by Z- ( ; ,,,, / L �, whose address is
I(Y� � /j -e
.41.r 1- I4.1 and to
Lay House Drain, Repair House Drain,' Lay Main, Other ,
for C�; �Gi _ v'�'t / occupancy or use, with 7 -
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE (Z' INDUSTRIAL
WASTES ( ), OR /�) Connection will be made with
C..-
Show sketch of proposed work or furnish two (2) copies of separate drawings.
J
�_� l � ��x��•�ii�Try-�-� �..v�«_
SPECIAL CONDITI S
Desired Starting Date Estimated Time for Completion
Permit to be issued to
the holder of Drain Layer's License No. Z- og Per 't will xpire thirty (30) days
s
after date of issuance. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No. and/or CHD Permit No.
l
Signed
Licensed rain ayer
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of the Town of South Windsor:
/ � 3/�� /F -- � -
G�v Engineering Department Date
Connection Charge Paid /U "7/6 '-�/ / Permit Fee: Paid $ 5 G
Check Number
Issued by
Tax Office °
INSPECTION _
Date work started � Date completed 9,,
Sufficient notification received: Yes No
Special Conditions
62
APPROVED: t •
-Inspector Date