HomeMy WebLinkAboutDrain Layers Permit 71 Rimfield Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
v 0 5813
DRAIN LAYER'S PERMIT
JULY 27 , , 1992
Pursuant to written application, .permission is hereby granted to the
Licensed Drain Layer named herein to .perform the work indicated below at .;
DART HILL REALTY INC -LOT25 at premises owned, by JMJ CONSTRUCTION
whose address is 658 ELLINGTON ROAD SOUTH WI.NDSOR and to
Lay House_ Drain, Repair ,House Drain, Lay Main, Other ,
for SINGLE occupancy or use, with
Family Units, with 37# _.'icres .
Type of Sewage to be connected under this permit : SANITARY SEWAGE ( X) .
INDUSTRIAL WASTES ( ) , OR
Connection will be made with SVR 35AAWERPIPE
Show sketch of proposed work or fu`nn, ,#h two (2) copies of separate drawings.
�1
SPECIAL CONDITIONS OSHA REGULATIONS AND PLAN SPECS
Desired Starting Date Estimated Time fo_ Completion p
Permit to be issU'e to , OF
the holder of Drai'Vr�'Layer's License No. Ter w 1 expire thirty
(30) days after cute of issuance. The undersigned Drain Layer hereby agrees
to all the te;Ans and -conditions set forth in the permit and the reverse side
thereof. A� icant bias received Town Permit No. and/or'
CHD Permit o. `
Signed
f Ze�fDr
Lice ed ain Layet "
The above nain.- re,�,^has a valid license- is ued by the State of
Connecticut and ile sat�itor bond and insurance policy in the
name of the Town .of South Winds, -"
E g neer /g Dept. Date
Permit Fee Paid $ —(�� Check tuber. I0� 1
Connection Charge Receipt No. 4-� �� Dated 7/Z3�g Z,
Issued by
INSPECTION
Date work started to completed " ! qi
Sufficient notification r eive3: es No
Special Conditions
A P P R
Ins, ctor Date