HomeMy WebLinkAboutDrain Layers Permit 64 Beelzebub Road k TOWN OF SOUTH ' WINDSOR'
DEPARTMENT OF �POI.LUTION CONTROL gip No.:
South Windsor, Connecticut
List.No.: _S�o7Zlm
.DRAIN LAYER'S PERMIT K0 947
, 19
Pursuant to written applicatior; permission is hereby granted to the Licensed Drain Laker named herein to perform
the work indicated below at 6/ lills*Iiebub AtDud ( 0)
on the
side, between
at premises owned by ��� z Y. �11_iOtt
whose address is $aee
and to Lay House Drain, Repair House Drain, _Lay-Main, Other
for Swaid®ntiaa occupancy or, use,
with One Family Units, with acres.
Type.of Sewage to be connected under this,permit:
SANITARY SEWAGE ), INDUSTRIAL. WASTES .( ), 'OR
Connection will be made with SIX Uoh plastic Pipe
Permit to be issued to Jib,, A. LM M!
the holder of Drain,Layer's License No. w«9 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
Signed
Connection Charge Paid w 8..of Licensed Drain Layer
lssu¢d by ;N, 11th
Tax Collector l
i' Permit Fee:. Paid $ _fir
INSPECTION: Check Number: _ _
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
;2.3
To help locate your sower connection on the main line, please show
\A/here you %vould like the connection by drawing a line From the house or
the septic tank to the main lire in the street. Also, install stake in yard
to indicate 1 ine as shown on sketch. If you have any doubt please contact
the Town Engineering Department. -
Please draw important information such as driveways, large trees
and other obstructions.
PLEASE NAIL THIS FORM IM;IVUE--DIATELY TO:
JAMiES S, NIINGES ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 0603-
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