HomeMy WebLinkAboutDrain Layers Permit 70 Dart Hill Road wlv 5evl H 141,A1,o5o
To help locate your sewer connection on the main line, please show
where you would like the connection by drawing a tine From.the.house or
the septic tank to the main line. in thA street. Also, install stake in yard .
to indicate line as shown on sketch. IF:you have any-doubt.please.contact _
the Town Engineering Departmznt:-
Please draw important in for nhation such as driveways; Large trees
and other obstructions
PLEASE MAIL THIS FORM IMMEDIATELY TO-
J. MES S. MINGES & ASSbC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 0.6032
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TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut /
List.No.:
DRAIN LAYER'S PERMIT N? 1526
QC i bA W .3/ , 19�_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 70 � �T /fly' 1�6f}� on the
side, between
at premises owned by ERNAI .15 c ecl A
whose address is
and to X_Lay House Drain, Repair House Drain, Lay-Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (�,), INDUSTRIAL WASTES .( ), OR
Connection will be made with
Permit to be issued to 4,41n.-q8/V
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to 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
Signed
&Z:ZA
Connection Charge Paid 5 Licensed Dra n Lay r
1 0-2 s- ` Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED ��'�''� (Date)
INSPECTOR (Sig)
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W1C 60,
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To help locate your sewer connection on the main line, please show
where you would like the connection by drawing a Tine From the.house or
the septic tank to the mainline in the street. Also, install stake in yard.
to indicate tine as shown on sketch~ ._IFyouu have any doubt please contact
the Town Engineering- Department:
Please draw important information such as driveways, large trees
and other obstructions._.
PLEASE NAIL THIS FORM IMMIEDIAT LY TO: -
JAMES S:. MINGES & ASSOC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032 ;
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