HomeMy WebLinkAboutDrain Layers Permit 56 Rosemary Lane UWN OF SOUTH
WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut BAP No.:
List No.:
DRAIN LAYER'S PERMIT
2405
Pursuant to written a ' 19
pplicatior, p fission is hereby nted to the Licensed Drain Layer named herein to perform
e��z
side, between on the
at premises owned by S
whose address is
and to —Lay House Drain,
Repair House Drain,
for —Lay Main, Other
with
Family Units, with occupancy or use,
Type of Sewage to be connected under this permit: acres.
SANITARY SEWAGE ( ), INDUSTRIAL.WASTES .( ) OR
Connection will be made with )
Permit to be issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms and conditro
Permit will expire on
thereof. A ns set forth on the permit and the reverse side
Applicant has received Town Permit No.
for street excavation.
and/or C H D Permit No.
SPECIAL CONDITIONS
----------------
Connection Chargc>Paid / Signeu
�j Licensed Drain Layer
Ta Collector CI Issued by
Permit Fee: Paid
INSPECTION: Chet k Number. - 3
INITIAL —"�
FINAL (Sig)
APPROVED (Sig)
(Date)
INSPECTOR (Sig)
Construction Inspection Report
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Street L O � Time 8:3
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Developer Controctor
Work in Progress
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Special Instructions/Orders
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