HomeMy WebLinkAboutDrain Layers Permit 135 Morgan Farms Dri �...,l.•.
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT 4803
135 Morsan
Pursuant o written application, permission is hereby granted to the Licensed Drain Layer
named herein to. perfo ;the:work indicated belo,gr at
at premises owned by j. �( ;�, t„' �'y ( / whose address is
and to
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 ( ), 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 7 / 87 Estimated Time for Completion
Permit to be issued to A�/-/ S/J-J�1
the holder of Drain Layer's License No. 2�o 7- -2y9 . Permit will expire thirty (30) days
after date of issuance. The undersigned Drain Layer hete y agrees to all the terms and
conditions set forth in the permit and the reverse side`'. th reof. Applicant/ha �ived
Town Permit No. and/or CHD Permit No.
Signed
Licensed , in Layer
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance polic ' in the nalAle of the Town of South Windsor:
7-z?-d�7
Engineering Depar ent Date
Connection Charge Paid Permit Fee: Paid $
Check Number
Issued by
J
Tax Office
INSPECTION Q
Date work started 9— -,97 Date completed
Sufficient notification received: 1/ Yes No
Special Conditions
APPROVED: }4- 7
Inspector Date