HomeMy WebLinkAboutDrain Layers Permit 70 Homestead Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut s.,
List.No.:
DRAIN LAYER'S PERMIT NO 2016
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named,.herein to'perform
the-work indicated•below at < G'7 ^s' S. jD j7,e S "w.",a/
on the
side, between
r
at premises owned b
whose address is
and to Lay House Drain, _ Repair House Drain, Lay-Main, Otket'1
for , ;
r r, occupancy or use,
with "L)yr' Family Units, with acres.
Type of Sewage to be connected under this permit:—..
SANITARY SEWAGE (, ), INDUSTRLAL;WASTES OR
Connection.wilLbe-made with f . a
Permit to be issued to
the holder of Drain.Layer's License No. 7 7 � _ Permit will expire on
The undersigned.Drain,Layer hereby agrees-to all the teems,and conditions set forth on the permit and the ie` t e si
tr.
thereof. Applicant has received Town Permit No. ` and/or C H D Permit No
for street excavation.
SPECIAL CONDITIONS'
Signed ems, `�%�%.�-�-' i .,-i 4 j :•.,t d1 f;i! _ ;
Connection Charge Paid L � ,U�� Licensed Dram Layer
- =` z t'.�I��. f ✓C/ 't:L' Issued by
Tax Collector
' ✓lam
Permit Fee:. Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 'i a r ti.:._ (Date)
INSPECTOR
h
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER " ,
TYPE OF WOFIC lAAA _ 9 �-
DATE -2r JA oPERMIT 20 6 PIPE
INSTALLER
INSPECTOR DRAWN B