HomeMy WebLinkAboutDrain Layers Permit 96 Stonefield Trail y
TOWN Of SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT3652
o
19 �J
Pursuant to written application, permission is hereb ranted tjo. thetice sect Drain Layer
named herein to..perform--the wo k indicated .below at Q�
at premises'oumed'by: e address is
Lay House Drain, - Repair=Houses Dial
n; Laysaiii, 0th2f' ,
for - occupancy or use
Family Units, with acres.
Type at Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIAL
WASTES ( ), OR ( ) Connection will- be.=:made•with
Show sketch of proposed',work or furnish two (2): copies of separaC'e drawings:
SPE4AL CONDITIONS
2 YM1 14
Desired Startl g.'Date Estimated 1Time for: Completion
Permit- to he issued-``to
the holder of Dram Layx's license,Nb. ;` ;'" Perm t w;l expire'thirt3 (30 t Fdays
after date of issuance. The undersigned Drain Layer hereby agrees ;to, all the teY
conditions set forth in the permit and the reverse side thereof. Applicant has received
Town Permit No% .and/or CHDP"ermit No.
Signed
Li t6ftse&-Dra"iA--Layer
The above name i, Drain Layer his a valid'1icense i6su d by the State'bf_' onne t3cut and
has filed a satisfactory bond and insurance po.,lic ",an,tne name of .tl�e Town of $outl `Wind sor:
793
Engineering:Department Date
Connection Charge Paid °��a �"� Permit Feet Pa-3d $ t�v
Check N ber
uck issued by
Tax 0 ce
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date