HomeMy WebLinkAboutDrain Layers Permit 61 Murielle Drive ILI
A� TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor,Connecticut
List No.: _
DRAIN LAYER.',S PERMIT NO 1308
1.9
Pursuant to written applica or rmission 's hereby to the Lbcensed Dra' /Laye named herein to"perform
the work indicated below at / f U%/ �/[`_ ' ;, j � C�,
on the
Nb
side, between
at premises owned by PKIII
whose address is
and to Lay House Drain, Repair House Drain, ' Lay Main, Other
for occupancy or use,
s
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x),_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 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 Charge Paid (� icens rain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED �: 1O'7 (Date)
. .
(Sig)
INSPECTO
1 w F h %
�vz
22
NOTES SOUTH WIND OR POLLUTION CONTROL
LOCATION 2W G /
OWNER
TYPE OF WO /?
DATE _ - PERMIT PIPE
INSTALLER -ea
INSPECTOR,G= DRAWN BY EC/-7f'
M ,
NL
- - - 2
o -
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN- 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . . . . .
The Sanitary Sewer
Septic System
at
or lot #. . . .�.
has been ins
in accordance with the Town Of tailed and completed
regulations.and re South Windsor ordinances.
Accepte an Approved
Date K 7/-n—�