HomeMy WebLinkAboutDrain Layers Permit 95 Rimfield Drive M � �
.�..- TOWN OFF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 0 5824
, 19
Pursuant tq :w itt,en applieati:on, permission is ereb,y granted to the
L ' en' ed Drain; Laye natge.d here1n.'to perform, the wor indicated below a
I 1 �iff/►rak remises o%qned,_,Js,,y ..� can
whose address is ' , 3", and to
Lay House Drain,' ~"Repair ouse' 'Drain ' ' ='Lay Main<, w 0th' r. ,
for <
/ occupancy or use, with
Family Units,_ wi acres.
Type of :Sewage to be connected under this permit : SANITARY SEWAGB ( ,
INDUSTRIAL .WAS:TES `.( .7 OR .(�) ; s
Connection will ;be made with 5
t>' 34�G
Show sketch of prro:pose4:. 6rk or furnish two (2) cop'ie of 'separa'te drawings.
r.. . <
i
SPECIAL CONDITIONS
Desired Starting Dante Estima,ted ,Tme .for Comp etion
Permit to be issue ' to ��, j�1 ' aG vas
the holder of Drain Layer's Li;ceas,e No.. .' Permit -Lwill :expfie thirty
(30) days after_4ate of� issuanc-e. The" under igned, Drain Layer, hereby agrees
to all the terms and •c'onditions set forth in th-e permit and the reverse side
thereof. Applicant has received' T<own _Pe,rmit No. `2- 0 a.ntd/or..`
CHD Permit No. •
Signed �w
Li ense Drr/bly .
n Layer
The above named Drain Layer has a valid license' issuethe, State of
Connecticut and has filed a sat:is-factory bo d and insurance policy in the
name of the Town of South Windsor:
Z
E ; i eer Dept. , Date
Permit Fee Paid $ :�U Check u er q1AR
Connection Charge Receipt No. 2 Dated v l 2
Issued by-
INSPECTION
Date work started 9^l' ��. ate completed l± � Z
Sufficient notification receive a : Ye No
Special Conditions
APP
CAn Date