HomeMy WebLinkAboutDrain Layers Permit 61 Homestead Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT NO 1843
19�
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at "? --L on the
side, between
at premises owned b 2 -
whose address is o
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for —occupancy occupancy or use,
with n_`s Family Units, with acres.
Type of Sewage�tnnectedbe under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTE ( ), OR ;ZLConnection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit an the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
�y
C)O (/S/ Signed
Connection Charge Paid OO 79 Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ _ �� GD
INSPECTION: Check Number: O Q&o
INITIAL (Sig)
FINAL ,/ (Sig)
APPROVED C 4 ^�q (Date)
(Sig)
INSPECTOR
N
o
N
J
1 l o
1
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER Ll t e /-/,� U&� t
TYPE OF WO RK ,2.
DATE ` PERMIT PIPE
INST L
INSPECTO RAWN BY