HomeMy WebLinkAboutDrain Layers Permit 9 Jared Court '' •` "' TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WO
RKS
BUREAU OF POLLUTION CONTROL
Z k 'jyo 58 6
DRAIN LAYER'S PERMIT ,, j i,N 8
1,9
Pursuant to written application, permission i hereby granted o the
Licen. e t a.in a er m d�herein to perform the work indicate ,belIO t�
at premises owned by PCj4917► .
*s4e a , ress is ro i and
Lay House; Dra n, G, 9ej0air1Wc?uAs0'& in, Laj 'Mkini, Oth r ,
" foroccupancy or use, wit
y nits ith acres.
'Type of ,Sewage to be connected- under this permit : SANITARY SEWAGE ( ,
{ 1 g-TRIAL WASTES ( ) OR (" )
*i ,etty .h" wily be made with
Show soi�-ch of proposed work or furnish two (2) copies separate drawings.
i 'Ato X'x:*.J
Desired 9qt—' I g Date Z timated Time forrCompletion
Permit to be iss11
the holder-of Drain Lay is License No ZORIT3d Permit w3ii expire t irty
¢. (30) days after date of issuance. The undersigned Drain Layer hereby agrees
to all the terms and conditions set fo2. $r!3dhe permit and. the revers"e side
-thereof. . Applicant has received Town Permit No. , and -
CHD Permit No. -
Signed C -�
c a. d , 'n Layer
r-
The above named Drain Layer has a val lice i u by the State of
Connecticut and has filed a satisfactoryf-�ond and" ins ance policy in-the
name of th.e Town of South Windsor:
1 8/z8/g Z
--Tn inekpng Dept. Date
Permit Fee Paid $��. UU Check umber M3;3 -
Connection Charge Receipt. No. Dated
_ Issued by �I V9 Z _
INSPECTION
Date work start d ! -• - 9 Date completed
Sufficient notification receive ",•'' -Yes No
Special Conditions
APPROVED• _ �__ _ �
Inspector Date