HomeMy WebLinkAboutDrain Layers Permit 152 Norton Lane (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
Li
South Windsor, Connecticut 9 1
st.No.: _
DRAIN LAYER'S PERMIT N? 1453
ig IF
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ec2 N0.12T®r4 _FfNe LMET 40 on the
side, between
at premises owned by—
whose address is
and to �< Lay House Drain, Repair House Drain, Lay Main, Other
for h--5APP-7i7/itL occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (5j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with �� d9rc
Permit to be issued to 1L, JL
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 Orll 9 _ Licensed DrZain Layer
Issued by
Tax Collector
Permit Fee: Paid $ _e ✓_
INSPECTION: Check Number: /
INITIAL (Sig)
FINAL (Sig)
APPROVED 7 2Z If (Date)
SPEC R (Sig)
N
_ I
u�
-717
'22
I '
it
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Lot HO v r'-1 on Loyle
OWNER Ta=
TYPE OF WORK House Connc-o-}1 o n
DATE ' -25-'18 PERMIT i ti 5 3 PIPE 6" Pv C
INSTALLER K d- K
INSPECTOR G,7 DRAWN BY C.K.