HomeMy WebLinkAboutDrain Layers Permit 195 Benedict Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 3917
19�
Pursuant to written application, permission is hereby gr nted to the L'censed Drain Layer
named herein to.: erfo .t ,:
p h wor in �aat below :
at premises owft d.cby 7 ; ...who a>:add:ress is
+,and to>, =j
Lay House Drain, RepaiY I3ous 'Dram; "` La.y in; Elthe
for -- �--'— r oY,I iYe wit
r(tri ,
Family Units, with acres: " "
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( INDUSTRIAL
WASTES ( ), OR--( ) is Connecto w11;,;be�. madeLwith
Show sketch of propoeed work o urn 0, two (2'� copies of I separate `drawing`s"
..t., i_ .. ..
SPECIAL CONDITIONS '
Desired Start- n{g'Dst� _Est ima.;ted�Titme 4or:.,f:Cpm etioxi_ s :
Permit- to be issuedwtd
the holder of Drain'Layer 3s'L"ice se_ Np re
C iffy �( ( �'days
after date of issuance. The undersigned iMri(AL yer �ie6r eby agrees' to�al� 'th rte sand
conditions set forth in the permit and the reverse side thereof.t 'AppicaritJfias received
Town Permit
�.'.Sgned.
. ..:..
IA ceiised f Urain Lai et.,
The above namecl_ gain Layer as a`valid ']iccnsl issied by' t�i ` tte' of CdnnYeefcut and
i
has filed a satis£a tory bq,A1c}. and .4pSsI ranee aa���y i�et�g ���_ of �1���'�oawnlof`Soutt�rWindsor:
6 5
Engineering-D.epaztmen ,.: .w -.A, DDate
Connection Charge Paid/ b -Y-16-
Check Number O
try-
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector pate