HomeMy WebLinkAboutDrain Layers Permit 134 Norton Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut G
List No.:
DRAIN LAYER'S PERMIT N? 1451
19 7p
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 134 N® I-oNg, L®7' on the
side, between
at premises owned by_
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for eEs/DCNT//y-A- occupancy or use,
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 of Vr�
Permit to be issued to. 1k 40/'C
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 1 ITZ
Licensed rain Layer
C-45s7r Issued by
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number: -
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
S ECTOR
N
Excava+ior)
_ � I
1
LATE RA L
BOA D
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION NORTON LAN E Lo T 4Z
OWNER 74 M
TYPE OF WORK House WNt LECT 1O
DATE 71 2 7 PERMIT PIPE
INSTALLER
INSPECTOR G.T. DRAWN BY T. L,