HomeMy WebLinkAboutDrain Layers Permit 0073 Beelzebub Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor Connecticut
DRAIN LAYER'S PERMIT 1
27
0
, 19
Pursuant to written applicatior, permission is hereby granted tp,the Licensed Drain Layer named herein to perform
the wo nd 7ad below at ' "` �'>`f' 6 'i .v on the
U617side, between G
at premises owned !-
whose address is
and to ' a 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'WASjTES _(� OR ( )
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
Signed i L'�f (, '.:
Connection Charge Paid Licensed Drain Layer
/ y—7 7 Issued by
Tax Collector
Permit Fee: Paid $ ( �
INSPECTION: Check Number: %_� )
INITIAL l ~�1 �� (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECT
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I!'STA LLfP
P!_ C?! 0RA►WPI!GY
To help locate your sewer connection on the main tine
where you would like the connection b drawing please snow
Y g a tine E�rgm� the house or
the septic tank to the main line in the street. Also, install stake in yard
to indicate line as shown on sketch. If you have any doubt please contact
the Town Engineering Department.
Please draw important inPormatiol� such as driveways, large trees
and other obstructions.
PLEASE AAAIL THIS FOF-ZN', IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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