HomeMy WebLinkAboutDrain Layers Permit 124 Norton Lane r.� TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: 1,3
DRAIN LAYER'S PERMIT Np 1404
Pursuant to written applicatior,, 'permission is hereby granted to the Licensed Drain Layer named herein to'perform
the work indicated below at "1 IU DXTON A 11/1Jg5r / L.OIA - 4�3 ) on the
side, between
at premises owned oy
whose address:
and to Lay House Drain, Repair House Drain, Lay Main, Other
for VE//zz occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued,to le—
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. arid/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
t
Signed
Connection Charge Paid Licensed Drain Layer
76 Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED— - �1fi�J (Date)
JZ",40A (Sig)
INSPECTOR
N
y a ,
. NOTES SOUTH WINDSOR POLLUTION CONTROL 'r
LOCATION L vT a`f 3 NcfIV 14Nr
OWNER m
TYPE OF WORK Akuse CoNNEc--no-V s
DATE C- ►3-78 PERMIT lqoq PIPE G" PVC,
INSTALLER K
INSPECTOR . DRAWN BY T