HomeMy WebLinkAboutDrain Layers Permit 19 Deepwood Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List.No.: _S—`d[n 4 7
DRAIN LAYER'S PERMITS 732
W12/74 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 19 dE Dr, ( Lis, 3S on the
side, between
at premises owned by PttU1. Aitner
whose address is Same
and to 7C Lay House Drain, Repair House Drain, Lay-Main, Other
for Ree.dential
occupancy or use,
with Otte Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( ) —
Connection will be made IflC21ls #e: P3 ge
Permit to be issued to t701M Ae LM1116A
the holder of Drain Layer's License No. V-9 /88 Permit will expire on 12/12/74 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,
Connection Charge Paid 1b/1g/7 Licensed Drain Layer~
-"3 Issued by J'2=k J SMith
Tax Collector
Permit Fee: Paid .9
INSPECTION: Check Number:
INITIAL (Sig)
S
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
LiJ
a
C
o.
cr
NOES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER L rf
TYPE OF WORK
DATE ,w_ PERMIT
INSTALLER .,._
INSPECTOR DRAWN BY v
To help locate your se\,var connection on the main
line, please sho,,n✓
,vhere you r✓ould 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 shoe✓n on sketch. If-you Piave any doubt please contact
the Town Engineering Department.
Please draw i i portant information such as driveway ys, �larg,� trees
�
and other obstructions.
PLEA\SE —AIL THIS FORJVi IMiVIE.DIATELY TO:
JANIES S. MINCES & ASSOC. , INC.
The Exchange
Farmington Avenues
Farmington, Connecticut 06032
Jul i
14
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