HomeMy WebLinkAboutDrain Layers Permit 20 Stiles Court x
TOWN OF SOUTH.-' Yl N DSOR
DEPARTMENT OF PUBLIC ,WOtiKS
G\\� G ,z BUREAU OF POLLUTION CONTROL p
DRAIN LAYER'S PERMIT s__ �, �� 5801 ,
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A t 19�7✓
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Pursuant to written application, permission="is hereby granted 'to the
Licens d Dr n L yer named herein to perform the work indicated below a
JZ
e Z— at pre ices owned by � - _
whose . dress is C, S-01 1 to
Lay House Drain, Repair f1fruse Drain, '-Lay Main, Oth
for / occupancy or 'use, with
F Family Units, with acres .
Type of Sewage to be connected under this permit : SANITARY SEWAGE ( ,
INDUSTRIAL WASTES ( `)', OR ( )
'Connection will be made with SM 3 r, ;5e .d--r-T�/,?
.
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS G1 S L"C� g
Desired Starting Date 7/ E timated Time for Completion (,
Permit to be issu o. SST D
the holder of Drain Layer's 1icense No ZDB$ 0 .. Permit &ll expire thirty
(30) days after date of issuance. The .undersigned Drain. Layer hereby agrees
to all the terms and .conditions set forth in the permit and the, reverse side
thereof. Applicant has received Town Permit No. g and/or
CHD Permit No. /
Signed
tic ed Dr n Layer
:2fits4ed
The above named Drain Layer has a val lic:en by the State of
.Connecticut and` has filed "a, satisfactory bon and in urance policy in the
name of the Town of South Windsor: `
E g'11 nee n Dept. Date
Permit Fee Paid $ 2-� -00 Check u ber 04-U 1
Connection Charge Receipt No Dated
Issued by
INSPECTION �-9
,
Date workstarted � �ite completed �7 ,,
Sufficient notification rece ve es No T
Special Conditions
APPROV gz
Inspectof Date