HomeMy WebLinkAboutDrain Layers Permit 3 Jared Court TOWN Of SOUTH W!N DSOR
EPARTMENT OF PUBLIC WOR
C� KS
UREAU OF POLLUTION' CONTROL
g 2 0 t o 5825
DRAIN LAYER $ PERMIT N-
(�e)2 f 192z-
Pursuant to written application, permission is hereby granted, to the
Li)�c,een ed in a�eNr n e, herein . to perform the work indicated below a
5�f34T� Z' at pr:emis s o ned-by T Ga
whose address is ► A"n f `�" a.nd to
Lay House Drain, Repair ou Drain, Lay Main, Oth r ,
for occupancy or use, with ,Q _
,. Family Units:, with 3, acres.
fiype of Sewage to be connected under this permit : SANITARY SEWAGE ( ,
INDUSTRIAL WASTES ( ) ; ;OR
Connection will be made with
Show sketch of proposed work or furnish two (2) copies of sepirate drawings.
1
.��C�.E�L--COND iT IONS {fY b -,[' '- - -- 1l-
Desir,ed '-Startn , Date Estimated Timfr ComPletio n ,P-4im'A to be, _issued to
the holder o :ti Layer's License No. 2o,P 0 Permit will OX0.ire
(30). d'ays -f-tom #, to of issuance. The undersigned Drain Layer hereby agx e ,
to all the tet and conditions set forth. in the p rmit and the .rave" e. -si -e
thee. of. c 20 and/or
.: ,' snt has received Town 'Permit No,
CHD -Peiit "k,o.
Signed r �
ice sed rain Layer
The above named Drain Layer has a val d license i ;ued :by. the S-tate of
Connecticut and has filed a .satisfacto y and and insurance policy .in the
name of the Town of South Windsor:
ILIA-
00 E gi a ing Dept. Date
Permit Fee Paid $ f/ Che k umber
Connection Charge Receipt No. Dated .
Issued by f Z.
INSPECTION
Date work started —2 Date completed '"
Sufficient notiricarlon rece ve �. es No
Special Condition
Inspector Date