HomeMy WebLinkAboutdrain layer permit 65 Sharon Drive A TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _ 6/6
DRAIN LAYER'S PERMIT A 1
02
19J
Pursuant to written applic do , permissio hereby ant the Licensed Drain Layer named herein to"perform
the work indi a ed I at on the
0 side, be&wa4m
at premises owned by
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 X, INDUSTRIA WASTTE/S/�'�), OR ( )
Connection will be made with—
Permit to be issued to
the holder of Drain Layer's License No' �5, ��. Permit will expire on O -Z - 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
for street excavation.
SPECIAL CO ITI S Lox-,e rG 4,1 f t
01 -r
wed
Signed ,
Connection Charge Paid Licensed Drai ayer
- Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: --��
INITIAL (Sig)
FINAL (Sig)
APPROVED 5-f7 / (Date)
(Sig)
INSPECTOR
POOR N
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•NO ZONING VIOLATIONS IF HOUSE �ry
ERECTED AS SHOWN AND STAKED.
MEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
w 'F P NO P E R T Y D F CORRECT AND IN ACCORDANCE WITH CLASS A-
0�OIL CODE OF CONNECTICUT TECHNICAL COUNCIL.. CON
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p TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date • • • • • " " '
. . .
The Sanitary- Sewer
. . . Septic System ... . . . . . . . .
JZI�pe? . /.i . . . . . . . . . . . . .
at 4r. . . . . .
or lot #. . . . .3
• • •
has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
AccA
Approved
By
`C/i� � Date