HomeMy WebLinkAboutDrain Layers Permit 409 Spring Meadow Dr TOWN OF SOUTH W1 N DSOR
DEPARTMENT OF PUBLIC WORKS
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BUREAU OF POLLUTION CONTROL I
DRAIN LAYER'S PERMIT 3768
19�
Pursuant to written application, permission is hereby granted to the Li ensed rain Layer
named herein to. perfo the wo� ind cated el ow at
at premises owned by ri-[• whflse address is
and-to
Lay House Drain, iairr ilse' Drain; Lay Main,
for oc'ciipancy or.`use,'`with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIAL
WASTES ( ), OR ( ) - - Connection w 11 :be":made. with
Show sketch of proposed work or furnish two (t) 'cop-ies of separate drawings'.
SPECIAL CONDITIONS
Desired Starting Date Estimated-dime for :Comp;letion.
Permit- to be issued to ;
the holder of Drain Layer's -Licens.e No. Permit will ex0ire thirty (3D) 'days
after date of issuance. The undersigned Drain Layer hereby agrees tc''ail th4`terms', and
conditions set forth in the permit and the reverse side thereof: Applicant bias 'received
Town Permit No. and/or CHD Permit No.
Signed
Z,ieensed Drain:.Lay1et .
The above named bra n Layer has a valid' license issued by the `State of 'Connec'ticut and
has filed a satisfactory, bond and insurance,policy; ri the name of: the Town of Soud Windsor:
Engineering Department Date
Connection Charge Permit_,Fee: Paid $ `/
Check Npmbfr
by AL
Issued' r`
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special ,Conditions
APPROVED:
Inspector pate