HomeMy WebLinkAboutdrain layer permit 77 Sharon Drive r TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
� B/P No.:
South Windsor, Connecticut 2 z
List No.: _ ✓
DRAIN LAYER'-S PERMIT 1271
2
' 19
Pursuant to written applicati r, perm' s�,n is hereb r Li
anted to the ?ensed Drain Layer named herein to perform
the work ind' ated low at 0 on the
�
en side, betw,e/n
at premises owned by. v .
whose address is
and to 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 INDUSTRIAL W STES J� ), OR ( )
X Q///►
Connection will be made with -, (((/// (/
Permit to be issued to
the holder of Drain Layer's License No. 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
s
J� Signed
Connection Ch ge Paid 11/ Licensed Dr 'n Layer C p'
Issued by
Tax Collector
Permit Fee: Paid $ °_C
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED ? 7 (Date)
(Sig)
l; INSPE,fZ OR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION e u, ol, )"/ , iI
OWNER L it i7` il)
TYPE F WORK >
DATE -?- ? - ERMIT , PIPE
INSTALLER -;0 a z'r,'c' E-
INSPECTOR 1JRAWN. BY /'
,�i�i'�•e 77 M
v �
321
1 i
.01
N
sou H Vi ;N)3 : -ONT ROL
J'2- 77 PERMIT /Y7/ jPIPE
6%, T/,L 1_E R p�j
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sew �`� . . Septic System . . . • • •
' e • • • •
at . ... . . . . _ . . . . .
or lot #. . . . . ..
. . . . . .
has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted d Approved
By
/ Date �— —1