HomeMy WebLinkAboutDrain Layers Permit 25 Niederwerfer Road TOWN OF SOUTH WINDSOR
DEPARTMENT.-OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1477
Aus u%T 1y , 19 -Nk
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 25 N �r W er-�cYd on the
side, between
at premises owned by_ W.S. 1ekBL
whose address is 5iaVV\e.
and to _Lay House Drain, Repair House Drain, Lay Main, Other
for eC.r�+�Y�-}ja, occupancy or use,
with yj4e- Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( jSi, INDUSTRIAL WASTES .( ), OR ( )
h
Connection will be made with
Permit to be issued to- A A-6yv\ W LC h lytWC 1 A
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 i
Connection Charge Paid-_1229 Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ �
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED �°J '��- (Date)
(Sig)
1N PEC R
N
I 22° 22°
I
�45'
I
t
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 25 N its e r wer4yr 1Z a a-cL
OWNER W, Z. S aor v eA c-L,
TYPE OF WORK Notkst Covinec+-pow
DATE c5- 14-19 PERMIT Iy11 PIPE G" Pvc.
INSTALLER Adam
INSPECTOR DRAWN BY