HomeMy WebLinkAboutDrain Layers Permit 30 Skyline Drive •� } TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut S= f3�
List.No.: _
DRAIN LAYER' S PERMIT N? 857
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ,_' `i` "s '.:a �.. i a-?�'�'�-" V L z b'2'yE- on the
side, between }}
at premises owned byMKIA!� EQ1.1�. L �•{NAa �O Cc 71�rr7S�
whose address is
and to F" Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (e ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with x +:. 11 +i t
Permit to be issued to
the holder of Drain Layer's License No. � "', ,fir f:' 'y 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
Signed
Connection Charge Paid ,. ,�, Licensed Drain Layer
Issued by ¢-
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: "
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
r
-- - - - (V�
r z-, :C�v
N ` V
`lT�
AA40 y, E
iSc�.2J '/ t CNN/ v�I
I
NO ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
PROPERTY OF I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIAL LY
CORRECT AND IN ACCORDANCE IVITH CLASS A•.1
OF CODE OF CONNECTiCUT TECHNICAL COUNCIL 04 CONNEcl�
3 a
" L
SKy �� � Alt e.l� ASSOi ENG/NEERS No 2163
R•CONNECTICt LS1ER���pa _
FT. DATEi., ice;
S