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HomeMy WebLinkAboutDrain Layers Permit 110 Brook Street TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL So.3 B/P No.: 7-I South Wind4or, Connecticut List.No.: J1e.123e So,o DRAIN LAYER'S PERMIT NO 1095 v�aT 19 May 19 76 Pursu%nt to written applicatior, permission is hereby granted to the Lice4ped Drain Layer named herein to-perform the work indicated below at - 116 Bmnk Strapt (Lot 218) on the weast side, between Overlook Road'& Meadow Road at premises owned by JARVIS, Raymond J. & Kathryn H. whose address is same and to X Lay House Drain, Repair House Drain, Lay Main, Other for residential occupancy or use, with one (1:) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SWAGE _Q{X j, INDUSTRIAL WASTES OR ( ) Connection will be made with six-inch (611) solvent-joint plastic pipe to a lataral "known as Sta. 1.3+23.5, at A depth of 9.-0'f. - Permit.to.be issued to Andre L. C A:rbonnea r the holder of Drain Layer's License No.. w9-?0744.3 Permit will expire on .19 JUIy 19 The undersigned Drain,Layer hereby agrees td 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 Drain Laver` is to ascertain exact location-of homeowner's well and to mai lei sin. rentui read di stances from eame Sig Connection Charge Paid `0 _19-76 Licensed Drain Layer 1zec. # 980 Issued by Melvin Edwards, Jr. Tax Collector Permit Fee:. Paid $ __1 5-00 INSPECTION: Cheek Number: . eooa& INITIAL o S�2 o Q oss+4� (Sig) FINAL a /Sas (Sig) APPROVED___ ZD A'4 i974 (Date) % TOR (Sig) N 41 CI ti NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION 110 Brook Street (Lot 218) OWNER JARVIS, Raymond J. & Kathnrn H. TYPE OF WORK House Connection r DATE - - , ,- PERMIT 1095 PIPES ",';k INSTALLER Andy (yq-2o7443) INSPECTOR DRAWN BY /�w1v Qf L7UT !t!�?S€�1f "7 l r�Tr?/V T To help locate your, sewer, connection on.the main line please show where 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 to indicate line as...showri•on sketch. u,you have -any doubt please:contact the Town Eriginee61ngr Department, Please draw important information such as driveways, large trees and other obstructions_ PLEASE MAIL THIS FORM IMMEDIATELY TO: ^T JAMES S. MINGES & ASSOC., INC. The Exchange Farmington Avenue Farmington, .Connecticut 06032 i f v.�Y©IlR , S ! Smn J 910 r , - Cli'r�f", / -c. 9 fo fj