HomeMy WebLinkAboutDrain Layers Permit 53 Fairview Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF-TOLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT N? 1446
.2 , 19 _
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1i UPFAhey N j T)kI.Vjr on the
side, between
at premises owned oki
whose address is SA816
and to _ Lay House Drain, Repair House Drain, Lay-Main, Other
for 1ZE.5>n0N7rjAA— occupancy or use,
with QlAoI& Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with �� Vy
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Draiii 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.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
4�,—dig — Issued by o .►� � ��
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED ! '�) 7 (Date)
(Sig)
INSPECTOR
N 4s, 45'Bend
T - -_-
y
De _ \.Jy5° Lien
li
SIDE W LK
NOTESSOUTH WINDSOR POLLUTION CONTROL
LOCATION 53 Fciif-vie.w Urly�
- OWNER 4am'1 I-on
TYPE OF WORK E}cwse Conncc A-;
DATE "I -2-9- 7 8 PERMIT W 4 6 PIPE 6" PvC
INSTALLER Lam son CcnS -
INSPECTOR G:T DRAWN BY C. k