HomeMy WebLinkAboutDrain Layers Permit 406 Spring Meadow Dr -
TOWN tOF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
/ DRAIN LAYER'S PERMIT 3831
' 19�
Pursuant to written application,
pp permission is h r by ranted t the Lice ed Drain La ye
named herein to. perf the wok indlea ted_b low ate ' ;
at premises owned by - iwhose address is
and to
Lay House Drain, 'Repair'House`Dram; ''hay'-Main, Other ,
for - �- occupancy or use; with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE( ), INDUSTRIAL
WASTES ( ), OR ( ) Connection will -be made ,with
Show sketch ,bf proposed work or 'furnish tWo (2) copies of separate drawings..
SPECIAL CONDITIONS
�s
Desired Starting-Date Estimated.'Time :forCompletion,
Permit- to be issued to
the holder of Drain Layer' ;Y-License Nq. Permit `gill expire 'thir'ty (30-)' days
after date of issuance. The undersigned Drain Layer hereby agrees to alb `tte"terg-•and
conditions set forth in the permit and the reverse side thereof. Applicant as teceived >
Town Permit No.. and/or CHD Permit No.
Signed _ R
Licensed Drain Layer
The above named.Drain_Layer, has a valid license is$p&b" the State`of 'Connedt•icut and
has filed a satisfactory bond and insurance.policy in ,tge name• of :the Town of::Soah*Windsor:
Engineering Department , c Date
Connection Charge Paid .�� '(� "Permit Fee: Paid $ '�
Check Number
Issued by
Tax O fice
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date