HomeMy WebLinkAboutDrain Layers Permit 119 Farmstead Drive (2) 77 TOWN Of SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1195
, 19
Pursuant to written applicatior, permission is hereby granted to he Licensed Drain Layer named herein to perform
the work indicat d below at �' Id on the
side, between C116
dO <
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with / Family Units, with acres.
Type of Sewage to be connected under this permit-.
SANITARY SEWAGE &/1 INDUSTRIAL WASTES ( ), OR/( ) A
Connection will be made with C� a D7
Permit to be issued to
the holder of Drain Layer's License No. 2 4)2c S1 Permit will expire on IO —J 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid�
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
ECIA ONDITIO
� r
Signed
Connection Charge Paid Licensed Drain Layer
- Issued by
Tax Collector _
Permit Fee: Paid $ _ 61C)
INSPECTION: Check Number: 64
&=- 7
INITIAL (Sig)
FINAL (Sig)
APPROVED /3 / " (Date)
` / e (Sig)
INSP OR
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTtI WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . .�. 7. . . . . . . . . .
The Sanitary Sewer . x . . . Septic System . . . . . . . . . .
at . . �1 . . . . . .0"/Id'? � '. . . . ' . . . . . . . . . . .
or lot . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted Approved
By