HomeMy WebLinkAboutDrain Layers Permit 174 Krawski Drive f TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT g ` 656
I 6l D
19
Pursuant to written application, permission is her,eb granted to the Licensed Drain Layer
named herein to perform Z rk indicated below ,
at premisets=owned° :, z;" Y
y t _whdses
f � . address is
Lay House 'in, - --- Re
for - '-r-
„ _ oCcupaii y or wff� i
Family Units, with acres:
Type of Sewage to be connected under this pe t: SANITARY SEWAGE ( ),' INDUSTRIAL
WASTES ( ), OIt 'IliC.
:_ G.onnecton w3.l1>: Q made rwith
J. rGe;.:iili:
Show sketch of pxopos�ed work i ft�riii h ''two r (2) eopie's cif Y rie orate °draw tags' '
r
SPECIAL CONDITIONS
• i
Desired Start nng Date Estsima�ted:;1idie fair„-Compjet�.oni
. _ .+' l ., t" .,. .!
Permit_ to 'We fsdiigd...t�'
the holder of Drain Lay"er!s'r ri it W 14 1Xre fces rt
y days
after date of issuance. e unders3griedDrain aye'r 1iereby agrees to a1 the'`te mC and
conditions set forth in the permit and the reverse side thereof. Appticarit has` eceived
Town Permit
. .- r _ . .. � f ,,-_ ._-;Li�►nsed=.�Drar"rFL�ye��:=
The above named;tb�r�}D Layer }s r� vpld� Itcense' issued' ` th :off iCinrie'c'f"lcut and
has filed a satisfa�,ldor�y bqn t1 insura a pp] cy.,; n.t " m _Qf tliq Town of. out Windsor:
ulll
car t..
Engineering Deparitfimertt r Date
Connection C ge PaleU Perid'ii: Pee:' Psid'`$ ""�_ •
Check Number G 3 2 Z--
_ a:
3t f
S813d �
Tax Office a:r ,
r
INSPECTION
are Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:'
Inspector Date