HomeMy WebLinkAboutDrain Layers Permit 128 Murielle Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 2
List No.:
DRAIN LAYER'S PERMIT NO 1319
9- 23- , 19 ��
Pursuant to written app�ati permission is hereby-granted t the Lice�ged Dr7nayer named herein to perform
the work inej�
ated, low at �f on the
side, betwee - r/' 'A? ' l `�' by � 1�
`/�
`fr
at premises owned by
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 ( ,, INDUSTRI WASSUS . ), OR
Connection will be made with 4
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 and 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 Char g Paid �/ �V ensed Drai er
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
,
3. ,1.... ..t. .. ,r .. ;`. s .': ..y,n .>!.:. ,h,,.:r. -,,, ,. M• y :,.:� �.:, �....5"' �'ya' ��lt%, f Nd :+:�. `.t.
f nk Y
� - y
5� n
}} -::5^'
No i k
r
44
77
Y.
j wf yy�
P
,
f
,
T
%.
L.
F;o
r}
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER'
TYPE OF WORK
DAT •. • PERMIT )3J91 PIPE
INSTALLER z,2
INSPECTOR DRAWN BY -=G'
OF SOUTH WINDSOR
TOWN TOWN HALL
SOUTH WINDSOR, CONN• o6074
DEPARTMENT POLLUTION
GON`I'ROL
Date . • • •
• . . Septic System
The Sanitary Sewer 1`
l Chi
at '• . leted
(� has been installed and comp
or lot � of-South
Windsor ordinances
in accordance with the Town
and regulations.
Accepted App�oved
i `
Date
By