HomeMy WebLinkAboutDrain Layers Permit 166 Norton Lane i TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT NO 1459
Nu4-y , 19,
Pursuant to written applicatior, permi�ss/ion is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by 77reA
whose address is
and to _ Lay House Drain, Repair House Drain, Lay-Main, Other
for
t occupancy or use,
with CIVIC Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE 0O, INDUSTRIAL WASTES
WASTES .( ), OR ( )
Connection will be made with t D !� �
Permit to be issued to_�! �
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
'2 Signed
Connection Charge Paid Licensed Drain Layer
7 � 7A Issued by_ 10
Tax Collector 13/
tC
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
. �.INSPECTOR (Sig)
GA R,4G E
5 Ur�
h
22°
1VoRTON l--.ArN�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION loot 39 Noon Lone.
OWNER Ta- M
TYPE OF WORK use +;o r,_.
DATE "1-28-'18 PERMIT 14 PIPE
INSTALLER
INSPECTOR 1.8. DRAWN BY C.K.