HomeMy WebLinkAboutDrain Layers Permit 405 Spring Meadow Dr TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 3767
�( / d� 6 19
Pursuant to written application, permission is hereby ranted to the Licensed Drain Layer
named herein to Perfora the work Indicated..bel w at
ad quo AA41�1�
at remises owned ,b
p y whose address is
and to
Lay House Drain, R'p 'House Drain, Lay-`Main, Otler ,
for occupancy oi�use'6, with-
Family Units, with acres.
Type of Sewage to be connected under this pe i ANITARY SEWAGE ( , INDUSTRIAL
WASTES ( ), OR Connection will be made.'with
Show sketch of proposed: work or ,furnish two (2) copies of separate drawings.'
.SPECIAL CONDITIONS
Desired Starting Date Estimated Time for Completion.
Permit_ to be issued `to'
the holder of brain Layer's -License No: Permit will expire'thirty (30)'days
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.
Signed
Licensed Drain. Layer
The above named Drain Layer has a..valid license issued by' the 'gtate of Connecticut and
has filed a satisfactory bond, end insurance. policy in, tie name"of the. Torn of gouth'Windsor:
Engineering Department Date
Connection Charge Paid '' � � Permit Fee: Paid"
Chec u?me r
Issued
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date