HomeMy WebLinkAboutDrain Layers Permit 46 Juniper Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.. _4;1Syg
DRAIN LAYER'S PERMIT -
N° 1460
Pursuant to written applicatior�rmi, .ion is hereby granted to the License
d Drain Layer named herein to perform
the work indicated below at �l(�l/�l.
on the
side, between
at premises owned
WI—se address is
and to YLay House Drain, Repair House Drain, La Main Y Other
for
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (* INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on I
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
�/9�5A Signed
Connection Charge Paid Licensed Drain Layer
Tax Collector �' +,� Issued by t4 lax-
Permit Fee:. Paid $
INSPECTION: Check Number: . y93v��1
INITIAL (Sig)
FINAL (Sig)
APPROVED_ - '%3/'7F -(Date)
(Sig)
INSPECTOR
N
II,
v
1
i
Lci e c,
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION V,-,
OWNER
TYPE OF WORK I6 Conner 1 �a n
DATE '1 -31-'7 3 PERMIT !-'�,O PIPE
INSTALLER
INSPECTOR DRAWN BY K,