HomeMy WebLinkAboutDrain Layers Permit 94 Berle Road " TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: S-
DRAIN LAYER'S PERMIT NO 1311
A-
19�
Pursuant to written appliccior permis�ion is eby gr rated to a tensed Dr in a er named herein to perform
the work indicated be w at f 0— 2 ` erle
n the
V a side, be
n
at premises owned by e /
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 ( INDUSTRIAL W STES
Connection will be made with—
Permit 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.
F,
SPECIAL CONDITIONS ._
J Signed
Connection Charge Paid icensed rain Layer
Issued by
Tax Collector J
Permit Fee:. Paid $ _!
INSPECTION: Check Number: = 4
INITIAL (Sig)
FINAL (Sig)
APPROVED ^_7 (Date)
(Sig)
INSPECTOR ,
Jru
idle
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d
d
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N 0�12, lei lC r c�
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATI /o,-/
OWNER
TYPE OF WORK a �,
DATE Jo-/i-2 7 ERMIT 7 / PIPE 7
INSTALLER C- -- '
INSPECT
OR < / DRAWN BY /'/
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . �`. 5 -)7 . . . . . . . . .
The Sanitary Sewer Y
Septic System/- P
at . . ...!. . . . � j.l . . . . .1 —.0 . . . . . . . . . . . .
or lot #. . .��-.�. . . . . . . has been installed and completed
in accordance with the.Town of South Windsor ordinances
and regulations.
Accepte and Approved
By Date /h'27