HomeMy WebLinkAboutDrain Layers Permit 169 Brook Street a TOWN OF SOUTH Wi NDSOR 41
DEPART ENT OF POLLUTION CONTROL
B/P No. ..
South Windsor, Connecticut SCa74�
List.No.: _
�4
D'RA-IN LAYER'S PERMIT
0 994 ,
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Pursuant to written applicatior, permission is hereby granted to 7the Licensed Drain Layer.named herein to perform .,
the work indicated•below at 4 Ra�b it t3!est- on the
m,�• hside,
at premises owned by-t� A - ad=8i
whose address is p��*
and to Lay House Drain, Repair House Drain, Lay Main,: Other
for 3tild don t j.a i„ t occuponcy or use,
with tine 1 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES .( ), OR ( )
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ConnectionTwill be made with ad3.01130h (62) iaamkic adia- t4 a lia
0+M it a d2 PA Ai"
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Permit to be issued to' AAa . 3*JAi
the holder of Drain'Layer's License No. W Permit will'expire on. 0 Zan19�
The undersigned Drain Layer hereby agrees to all the terms and conditions set-forth on the permit and-.f ,e.re'Verse side
thereof. Applicant has received Town Permit No.. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 17»9045 Licensed Dta n a er ..
Bee A94 Issued by .MA13 in h'jbMrdn,8 Jr-
Tax Collector
Permit Fee:. Paid
INSPECTION: Check Number:" • 397 S
INITIAL I 1 jM36 (Sig)
FINAL 1'�I12�0 �'i; +-..+'""`'" (Sig)
APPROVED: (Date)
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To help locate your sewer connection o;r the ,T
+,mere you Would like the main line, please snow
connection by drawling 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 shown-on sketch.. IF.you have any doubt please contact
the Town Engineering Department.
Please draw important information such as driveways, large traes
and other obstructions
PLEASE MAIL THIS FORM IMtviEDIATELY TO:
JAMES S. MINGES &.ASSOC.; INC.
The Exchange
Farmington Avenue
_-- --_ Farmington, COnnecticut 06032
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