HomeMy WebLinkAboutDrain Layers Permit Lot 16 Spinners Run . ,r t ....:� .g..p. z. .i a T �° _. 5,•
.� TOWN Of SOUTH WI N DSOR
' DEPARTMENT OF PUBLIC WORKS
v BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT • '6198
d a 191
Pursuant to writ-ten application, permission is hereby gran-ted"to the
1i en e(j Drain La ei name d erei o perform the work in Gated be,1o, at
V/.� ) 'j� at re se� ow a by G
s r 4ddress`'.,is /U t C and to
ay .House Drain, Re air House, Drain, fLay Main, : Other
f o occupancy or use, with /
Pami ;y Units, with acres.
Type of Sewage to be connlftted under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES ( ) , `OR
Connection 11 be made vfith , �- ;, ,
Show sketch of pro ose work or furnish 'two (2) cop ► s f sep rate draw.xngs,
S�,�/ - �5 E� E14TS MUST BE FOLLOWED
E IAL ND_ T_i- NS
Desired S"tart< h . .•fia,te Estimated Time for Complaian -
Permit t+ alesued C ;
the holder of .�?`i�a� Layer' s`aLiceri Ie No Zo83 S/ •- Permit to expir,e�thirty.
(30) days. aft ► date of ,issuance. They undersigned Drain Lair �� $'`agrees` ,;
to all the terns. a-Ad conditions set ,f.00rth io"-, the .peA :ry�it: r a - arse side '
thereof. Applicant- has received Tu rn. Pe ,No3., _` ;' ,� i for:
CHD Permit No. -
Signed ,
t. ice sed-Drai' aver
The above, named Drain Layer has a vain.- licensaissue toe State
Connec`t3,cut atid-a has filed a satisfactory bond an l 'i s'trracn P icy in the
name of the Town of South Windsi
Engineering a t. -D
Permit Fes Paid Check Numbera(.`
Connection Charge. Receipt No. 215'ot Dated
Issued by
I INSPECTION
Date work started / Q- Z 4- Date completed f p
Sufficient notific Elan receive: es No
Special Conditions Ir
APPROVED• � f6 -2�--
nspector Date
, SANITARY LATERAL & EXCAVATION PERMIT
INSPECTION REQUEST
DALE OF REQUEST: �O t�1—�L� TIME:
Tom°
BY: -Z:) - �� ��:G �`� FOR LOCATION: ���,� \ �h � tS.�
DAY INSPEC. NEEDED J(,' TIME:
��
TYPE OF INSPECTION: � / �° ` �tt� /8—� - l ���� 4'44,
( )� SANITARY/LATERAL (PERMIT NO. FOOTING DRAIN 8 ) ( ). x
( ) EXCAVATION (PERMIT NO. ) ( ) OTHER
INSPECTION REPORT
DATE: /0— Z/ — �L� TIME: 0 d INSP:
CONTRACTOR: G WEATHER: 6Bt
WORK IN PROGRESS:
h
17
eol
AREA OF CONCERN:
SPECIAL INSTRUCTIONS: