HomeMy WebLinkAboutDrain Layers Permit 186 Brook Street .. .
tl= ` TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: '�
DRAIN LAYER'S PERMIT N? g88
--JW X , 1 9
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 186 Amak St. on the
• norms side, between_ $y rjgo-k ." R=XZ
at premises owned byt11� lP
whose address is
and to _Lay House Drain, Repair House Drain, Lay Main, Other
fot Y ilIC"tw occupancy or use,
with * Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE 4( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Aiir 4xwh p1,r
AUG-
Permit to be issued to A Adan Wj-MM 44V4 k1
the holder of Drain Layer's License NoV19406�t� Permit will expire on t 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the perm the reverse si
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
i
Signed -•w,r �.
Connection Charge Paid aor Licensed Drain Layer
f
-- 8115 Issued by N. 2imatbaTax Collector
Permit Fee: Paid $
INSPECTION: Check Number: _
INITIAL (Sig)
FINAL '
(Sig)
APPROVED ` _ (Date)
(Sig)
1 INSPECTOR
T w
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. IF.you have any doubt please:contact
-the Town Erig.inee'61ng-Department.
Please draw important in`ormation such as driveways, large trees
and other.obstructions.
PLEASE MAIL THIS FORM IMMEDIATELY TO:
JAMES S. MINGES & ASSOC., INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
ra
01
AWAVAI
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