HomeMy WebLinkAboutDrain Layers Permit 153 Morgan Farms Roa TOWN 'OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT NN . 4731
3
Pursuant
towritten application, permission is here gra ted to the Licensed-Zrain Layer
named herein to perform t e wo k in 'c ed belo at
at premises owned by S7— hose 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 Estimated Time for Completion
Permit to be issued to � _5z,1_15e &4e-r
the holder of Drain Layer's License No. _7,,67?YZ . Permit will expire thirty (30) dAys
after date of issuance. The undersigned Drain Layer a eby agrees to all the terms and
conditions set forth in the permit and the reverse si a thereof. Applicant has eeeived
Town Permit No. and/or CHD Permit No. /
Signed /
Licensed'D ain Layer
The above named Drain Layer has a valid lic se issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of the Town of South Windsor:
E gineering Department Date
Connection Charge Paid y �" (� % Permit Fee: Paid */j
Check Num r— S L.
�l Issued by Z.,
Tax Office
INSPECTION
Date work started Date completed 4 — 2 7— A `]
Sufficient notification received: , ✓ Yes No
Special Conditions
Inspector pate