HomeMy WebLinkAboutDrain Layers Permit 9 Brook Street WR OF SOUTH WI N DSOR
/ DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut ' 'S' d74b
List No.: _
DRAIN LAYER'_S PERMITp i002
).19
Pursuant to written applicahior, permission is hereby granted to the Licensed Drain Layer named..herein to-perform
the work indicated below at >R Aliw
on the
twwt side, • !# •` �.'
at premises owned by Qj#i = 11 4
whose address is
and to __LLay House Drain, - Repair House Drain, Lay.Main, Other
forsstil occupancy or use,
E _
- with sfte {:1`) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (g j, INDUSTRIAL WASTES OR
Connection will be made with � 1rtw4 �"
Au M; at a
Permit to be issued to J
the holder of Drain Layer's License No. ,. Permit will expire ow-44 JAIM&IME 19
TIe undersigned Drain Layer hereby agrees to all'the terms and conditions set forth on the permit atidhe reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed 5
Connection Charge Paid 1.1 Licensed Drain L yer
- - ifs Issued;by �i1yU a Jai
Tax Collector
Permit Fee:. Paid $ 1
INSPECTION: Check Number:
(Sig)
FINAL /d (Sig)
APPROVED ;•Q `. . ,•eAe *m( Nsi
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To help locate your, sewer connection on-the main tine, please show
where you would like the connection by drawing a line from the house or
the septic tank to the main-line irr 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 information such as driveways,.large trees
and other obstruc tons
PLEASE. MAIL THIS FORM IMMEDIATELY TO
JAMES S. MINGES & ASSOC. INC. .
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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