HomeMy WebLinkAboutDrain Layers Permit 138 Cambridge Drive o TOWN Of SOUTH WI N DSOR
r r DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYERS PERMIT �� 58i2
DULY 27 , 1992
Pursuant to. writ.ten application, permission is hereby granted to. the
Licensed Drain Layer named. her,ein to perform the work indicated below at
MILLER REALTY rAk4MDT'nQR LOT lit premises owned by JMJ' CONSTRUCTION
whose address is and to
Lay ;House Drain, Repair Ouse rain, ay Main, Other
for SINGLE occupancy or use, with
Family Units, with s/4 acres.
Type of Sewage to . b.e connected under this permit : SANITARY SEWAGE (X ) ,
INDUSTRIAL WASTES ( ) , OR.
Connection will be made with SDR ' 35 SEWER PIPE
Show sketch of proposed, work or furnish two (2) copies of separate drawings.
SPECIAL CONDITI(J Q-S . -REGULATIONS AND PLAT[ >SPECS ►
Desired Starting Datetimated: T_ime for Completion
Permit to be issue to --� -
the holder of Drain Layer 's censVAro. Ol jr Permit will expire thirty
(34) days after date of issu nce. The undexsi'.gn-ed 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.
t Signed zL�
ice ed DrAAn .Layer
The above named Drain Layer has a valid license is.su d -by the State of
Connecticut and has filed- a satisfactory biOnd and insurance policy in the
name of the Town of South Windsor
n 3 e ing Dept. Date
Permit Fee Paid $ ZP,O.0 Chec mber06
Connection Charge -Receipt No. ¢I�-r bated
Issued by ?IZ�U
INSPECTION
Date work started Date completed M-- 2
Sufficient notification rece ve es- No '
Special Conditions
APPROVED• a /O-
Inspector Date