HomeMy WebLinkAboutDrain Layers Permit Lot 29, Norton Lane Alo-C
TOWN OF SOUTH WINDSoR
DEPARTMENT OF POLLUTION CONTROL Main Line and
B/P No.: Laterals
South Windsor, Connecticut
List No.: #1283 Voided)
DRAIN LAYER'S PERMIT No 1284
, 19 z
Pursuant to written application, permission is hereby granted to the Licensed Drai Layer named he to perform
the work indicated below at TIMBER KNOLL SUBDIVISION c on the
side, between
at premises owned by T & M BUILDERS
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to HEMLOCK CONSTRUCTION
the holder of Drain Layer's License No.ffl 2 G=7Z-3 Permit will expire on 19
The undersigned Drain Layer hereby agrees to all tife terms and conditions set forth on the permit an&the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS As—Built maps to be provided to Engineering
Department on, com letion of air testing.
Lines to be- air tested rior to acce tance
Signed •. `
Connection Charge Paid Licensed Drai Layer
Tax Collector Issued by
Permit Fee:. Paid $ _ 25.0(�
INSPECTION: Check Number: Ct]�
INITIAL <`
(Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
Z-
,W6
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER �gy
TYPE OF WOW
DATE PERMIT XIPE
INST v
INSPECTOR DRAWN BY