HomeMy WebLinkAboutDrain Layers Permit 176 Kent Lane r '
I
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
" Q 5709
DRAIN LAYER'S PERMIT
` 2 G — , 1`94 2
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated below at
176 KeN-r L,P/,o 1 - I.,:�t'�- 5- Sov-r aj premises owned,,,,6y S.A. bF;V67(-. Ca>vS
whose address is 3,> t o C"6gt`-,s Ps HAi,1 roftb/ COV0 ,OG1 8 and to
Lay House Drain, V Repair House Drain, Lay;-` Main, Other ,
for occupancy or uge,' with
Family Units , with 1 , 2 6 acres.
Type 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 separate drawings.
S-PECIAL CONDITIONS
Desired Starting Date Z - 2 6 - 4 7- Estimated Time for Completion / Mo�u i r+-
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire thirty
(30) days after datefof issuance., The undersigned Drain Layer hereby agrees
to all the terms and conditions set forth in the permit and the reverse side
thereof . Applicant has received Town Permit No . and/or
CAD Permit No.
Signed
ME ce=ssued
ain Layer
The above named Drain Layer has a valid licens by the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor: I Z;) 3 -12,
Engineering Dept. Date
Permit Fee Paid $ 2 •0� Check Number --44- -ao za
Connection Charge Receipt No. Yf Dated ,,•*''
Issued by � .
INSPECTION
Date work started [ -9 Z-- Date completed 3 — 17- g ?-
Sufficient notification rece e : yes No
Special Conditions
APPROVED:
-1 Zq�,
Inspector Date