HomeMy WebLinkAboutDrain Layers Permit 31 McGrath Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _ �,7
DRAIN LAYER'S PERMIT N? 2,277
19
Pursuant to written applicatior, ermission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, bet
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, r_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 19
The undersigned Drain Layer hereby agrees to all the terms an conditions set forth.on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
�,( � Signed
Connection Charge Pa' l Licensed Drain Layer
Issued by
ax of a for
Permit Nee:. Paid
INSPECTION: Check Number: 96�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
.(Sig)
INSPECTOR
f
r5
i
NOTES SOUTH WINDSOR POLLUTION C NQR
LOCATION .7 / / -aTT
OWNER
TYPE OF WORXar Sf Pr c' �t�'c �rr�
DATE - 1 PERMIT % PIPE ✓c-
INSTALLER ru U o,,,, ; ;
INSPECTOR - DRAWN BY S-,