HomeMy WebLinkAboutDrain Layers Permit 21 Heatherwood Drive -
TOWN OF SOUTH WINDSOR
Nh - DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 6129
Pursuant to written application, permission is hereby granted to the
License
d D ain L er named here
orm the work indicated below It
/" ' emises ow ed by SV�'L� ✓JS]
whose address is e ui-' a to
Lay Hous Drain, - Repair use Drain, Lay Main,—Other. ,
for / occupancy or use, with17Wit
-
Family Units , with acres.
Type of Sewage to be connected under this permit SANITARY SEWAGE ( ) ,
INDUSTRIAL WASTES OR )
Connection will be made with 7 p,de
Show sketch of 'proposed work or furnish 'two (2) copies of separate drawings.
O LOWED
SPECIAL CONDITIONS h lxl
Desired Starting Date , — Estimated Time for Completion 4
Permit to be issued toohc�[,6?(/�S
the holder of Drain Layer' s .License No_. 20373 Permit will expire thirty
(30) days after -date of issuance. ' ' The undersigned 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.
Signed
License ra Layer
The above named Drain Layer has a vali license, ssue by the State of
Connecticut and has filed a satisfactory b nd and insurance policy in the
name of the Town of South Windsor: /
h /
tginacalEdng Dept. Date
Permit Fee Paid oO Che Number .
Connection Charge Receipt No. Dated .
Issued by
. L4 zA Zi4
INSPECTION
Date work started 9z Date completed —j
Sufficient notification rece ve . Yes No
Special Conditions
APPROVE . rz, A.&--- (3 3-9�-.
nspector Date