HomeMy WebLinkAboutDrain Layers Permit 67 Osprey Circle TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
"
DRAIN LAYER'S � 555
S PERMIT ��,
�- A/ -- x -'LC_ a 197�
Pursuant to written application, p ission is �}ereby granted o the Licensed Drain Layer
named herein to perform he work indicated below at
at premises owned- by ��z IGCC��O whose add ess is
lT` GC/ Zw !� and to T
Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE (41, INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS
Desired Starting Date - EstimateeddJ Time for Completion �J
Permit to be issued tofT,J�G/ J ,� L�J✓S"T' �J, r /fit/ .
the holder of Drain Layer's License No. ZD?7 Permit will expire thirty (30) days
after date of issuance. The undersigned Drain Layer her by agrees to-all the terms and
conditions set forth in the permit and the reverse side hereof. .Applicant has received
Town Permit No. and/or CHD Permit No.
Signed
Licensed i rain Layer
The above named Drain Layer has a valid lic ns iss ed by the State, of Connecticut and
has filed a satisfactory bond and insurance policy th name of t j wn of Sou Windsor:
/ >
Eng neeri g artment Date
Connection Charge Paid /nj S �ermi Fee: Paid $6�5,0 6
Q,�ec um4r nk-f._9
Issued by
Tax Office
INSPECTION /
/ _
Date work / Date
-started n _ completed
Sufficient notification re eived: Yes No
Special_Conditions
APPROVED:
Inspector Date
— \ �\/
9uMP PUMP
• / I / / /6UrnP P MP � —OUTiFT �'_-_
/ � OUT4 I ECK � ro 22�
PFZIIQ"'_ FL
mil.V N
FF a 78.0 22
w/o c 70.0
4
yao
Ile
/ WYr44.4
Q21CA
II
cv
I103v=70•21 INv*70.1i I
5�/ OP WATEQ LAT. I --
l � P
AN.
Wj LAT.
A' TF��1�2S.4
11 E
� ' 1 , -1.1 a2
N '�9e>II /
t5 /�'� 3• j ��
GAR.
FL•„�ELEY.�
TlrT / 24 C \M ,
(02 _j"f0_b-A \1G�TQ�,�� I I L- PROP.
(o� (o870
� yb
w
�63'r� Co�.B�91- ti �•22
qO 6.�pPUMP =� v
^
IN V.=\db0� ,
P