HomeMy WebLinkAboutDrain Layers Permit 124 Overlook Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER"S PERMIT NO 1938
Pursuant to written applicatiQor, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ��Z d✓I on the
i
�.�'e �✓ side, betwean
at premises owned by /' �LstirK
whose address is % )_ - c ice;X- .( ,*�
and to Lay House Drain, Repair House Drain, Lay-Main, _Other�c
for /�����4=-Z �� occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( AA<DUSTRIAL/WASTES ( OR
Connection will be made with ll> re
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- IJ 3 c)
Signe&COpt
Connection ge Paid av✓/l z f Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $ L
INSPECTION: Check Number: 30" 7
INITIAL (Sig)
FINAL (Sig)
APPROVED rj 'Z -- (Date)
(Sig)
ECTOR
i
C
�-t-M6
� V G� ✓2 C�a � ({ � �1 Ili
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION e
OWNER
j TYPE OF WORK S
DATE � PERMIT PIPE l G
INSTAL E
INSEECTOR , DRAWN BY