HomeMy WebLinkAboutDrain Layers Permit 191 McGrath Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
5736
DRAIN LAYER'S PERMIT N O
7
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated below at
191 11cGrath Road, South Windsor at premises owned by Nancy & Gary Walker
whose address is 191 McGrath Road, South Windsor and to
Lay House Drain, Repair House Drain, Lay Main, Other ,
for Si'V6L�- occupancy or use, with pJti _
Family Units, with acres .
Type of Sewage to be connected under this permit: SANITARY SEWAGE ( ,
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with -3
Show sketch of proposed work or furnish two (2) copies of separate drawings.
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SPECIAL CONDITIONS
Desired Starting Date — — Estimated Time for Completion
Permit to be issued to L,.> L L=y G
the holder of Drain Layer ' s License No. 0Lq . Permit will expire t irty
(30) days after date of 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
CHD Permit No.
Signed
Licensed Drain Layer
The above named Drain Layer has a valid license issued by the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor;
Engineering Dept. Date
Permit Fee Paid Check Number ' 109
Connection Charge Receipt No. Lq1y Dated
Issued by
INSPECTION
Date work started 4- 2 7-gZDate completed z 3--Z.
Sufficient notific-a on recelvea; 'Yes No
Special Conditions
APPROVED• rL
• Inspector Da Fe