HomeMy WebLinkAboutDrain Layers Permit 80 Beelzebub Road JIf
*,�,06"7TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT Uft Moo &4*"X? 355
M , 19is
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between 311111116M 411HO ri! ii�
at premises owned by it,
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main,, Other ,
fore.
occupancy.or use,
with aw Family Units, with acres.
t Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with r �
Permit to be issued to so a
the holder'of Drain Laye'?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 SM" 14W 10 POW I"
WSigned '
Connection Charge Paid , License Drain Layer
(Sig) Issued by
Tax Collector
P mi F Paid$
soft 1111111111011111"
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 4" ! (Date)
(Sig)
INSPECTOR
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
�{or on�wra. ro �ca'- LOCATION ao o L2E a a Corrr
OWNER --r A
TYPE OF WORK
DATE a _,o --73 PERMIT 3 ss' PIPE&"V. C,
INSTALLER A bl _ ss9
INSPECTOR h-. DRAWN BY
To help locate your sewer connection on the main line, please show
NNhere you would like the connection by drawing a line from the house or
the septic tank to the main line in the street. Also, install stake in yard
'o indicate line as shown on sketch. If you have any doubt please contact
the Town Enginecring Department.
Please. draw important information such as driveways, large trees
and other obstructicns.
PLEASE Tv'sAIL T';-i_TS' FORivI IMrViE C;IA T ELY TO.
JAIMES S . IMING3ES & ASSOC, , 1NC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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