HomeMy WebLinkAboutDrain Layers Permit 209 Brook Street (2) i TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT k o 5840
19
Pursuant to, written application, permission is hereby granted to the
Licensed Drain �ayej named herein to perform the work indica ed below at
/C ST, at premises owned by rq_f- j�rn,�, obr)eyl
whose address` is GrYi-fir and to
Lay House l�,r anp Repair House Drain, Lay Main, Other ,
for ltirG�r ,/1 , occupancy or use, with /
,: 'Family Units , with _acres.
Type of Sewage to be connected under this permit : SANITARY SEWAGE O ,
T aq.1;.$i=TRIAL WASTES ) OR
Clgi,, tion will be made with A!!71
S+how sketch of proposed work 4 fi4rnish tw copies of separate drawings.
��� ,Jevj � JV •
DLCIAL CONDITIONS � Q.5� ke (/ rped (19. !•t/C/+ �
.2 49
Desi:" ,.`"Starting Date Hstimat d Time for Completion ,A51 7=7 Z
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire thirty
(30) days after date of issuance. The undersigned Drain Layer hereby ,agrees
to all the terms and conditions set forth in the permit j anc, the reverse side
thereof a Applicant has received Town Permit No. aU too 2 and/or
CHD Pe ajit 0 r—.
CAA- to
1Qv-M .. you d,%I &Z Signed
J � 90 / Licensed Drain Layer.
The above named Drain Layer has a vali license issued by the State of
Connecticut and has filed a satisfactory bond and insurance policy in -the
name of the Town of South Windsor: '
Engineering Dept: Date
Permit Fee Paid " $ :OCR Check Number k/Oy9'
Connection Charge Receipt No. Dated '{,
Issued by
INSPECTION
Date work started " Z-�' 7L ate completed 2 —
Sufficient notification receive—' a: es No
Special Conditions
APPROVED• �Z
6nspeator Date
2''YFtE b �> � �, wc. iw `31sx�`
2t a x �_� aO �t1
Toe#ieip locate yocsr-sewer- conned tors orr the main Line, please-show
�vhere;yuu would I k the connection b drawing a tine fror7i the douse or,the septic:tank fio the 'main line in the street_; Also-, ..Install stale e tn.yard
to indicate Iine as shgwn on.sketch IFyqu„have any doubt please,cointacl
the Towrx Engineertn t?eparfiment
k
Please draw irnportant information. such as drt,rewa s Ia
and others obstructions x
x y r trees
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JAMBS S _/AINGES ASSC3 INC
'he Excria f_ t=
s Farmington Avenue
Farm.in ton }
9 , Connecticut 06g32
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DEC 2 6. 1973