HomeMy WebLinkAboutDrain Layers Permit 008 Austin Circle :.r x i:..
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
�6T BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 'i.l"10 5
909
Pursuant to ,.written application, permission is hereby granted to the
Ligenped Dr in La er named herein to perform the work indicated bel w .at
O. Grp nt premises owned by `
wh o s a r e i ; , ) s?i ;' F ., ##��LL�iLL d `t o
Lgr:-? rVf a n e a �. , ain, Other ,
for ` - occupancy or use, with
Family -Units.; with t acres, -�
T� e �1 7
e of r'�ewage �i�be connected under this permit : SANITARY' SEWAGE ( ,
INDUSTRIAL WASTES ) � OR
Connection will be made with
Show sketch of p.ropose`d work or u. n? two '(2) co ies of separate drawings.
f
SPECIAL CONDITIONS nS t
Desired Starting Date stimated Time for Completion .
Permit to be issued to '
the holder of Drain Layers Lic a rNo Permit will exp r`e th1rty
(30)` days after- date of issuance. The and " e Drain Layer hereby ag.r'ees
,to all the terms and conditions set forth in the t-;and the _reverse side , '
thereof. Applicant has received Town. Permit No. 4' and/or :
CHD Permit No.
Signed
ice ed,��Dp4ifi Layer
The above named .Drain Layer has . a vailVd license- iss by the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor :
ng eering Dept. - Date
Permit Fee Paid $ Check umber6�
Connection Charge Receipt No. y Dated -L -Q
Issued by Z2
INSPECTION q Cj
Date work started - , . / Date completed
Sufficient notification Peceive3'-: —Yes 4--- No
Special Conditions
APPRr9-
�Inspectr Date