HomeMy WebLinkAboutDrain Layers Permit 59 Deepwood Drive Apr
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
VA
South Windsor, Connecticut
List..No.:
DRAIN LAYER'S PERMIT 647
ursuant to written app icatior, permission is here/by granted to the Licensed Drain Layer named herein to perform
the work indicated below at C L-; 39) on the
IM0 side, between Awbi
t
at premises owned by _ 06ft
whose address is 41100
and to X Lay House Drain, Repair House Drain, Lay Main, Other ;
for I # occupancy or use,
with 4 Family Units, with acres.
type of Sewage to be connected under this permit:
SANITARY SEWAGE (Z), INDUSTRIAL WASTES .( ), OR ( )
5 Connection will be made with 4044061 I "* Ak !a—ft—rd Now so f t a da
Permit to be issued to i*
tjhe.holder of Drain Layer's License No. Permit will expire on youbw 19 .
�Tbe 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
r--=
Signed j'e'
Connection Charge Paid Li ensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 9—'Z--?4 (Date)
.� (Sig)
INSPECTOR
i
i
; i
T j
y
j
i
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION S
OWNER
TYPE OF WORK y
DATE q PERMIT 6 9 Z PIPE
INSTALLER ¢,,
INSPECTOR ' DRAWN BY
.. } lam\ ..✓ r-+ � _ - -
T 6 help locate your sewer connection on the main line please show
,A/here- you Would like the connection by drawing a line From the house or
the septic tank to the main line in the street. Also, in stake in yard
to indicate lina as shown on sketch. IF-yota have any doubt please contact
the Town Engineering Department.
Please draw important information such as driveways, large trees
and other obstructions.
PLEfi\SE MAIL THIS FORM IMMEDIATELY TO:
JAME.S S. IMINGES & ASSOC. , INC.The Exchange
Farmington Avenue
Farmington, Connecticut 06032
kl
i
i
s
t