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HomeMy WebLinkAboutDrain Layers Permit 79 Deepwood Drive TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut B/P No.: _ List No.: SiC�S�3 DRAIN LAYER'S PERMIT N? 680 oCT.12,1 W4 19 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to.perform the work indicated below at 79 leepwood Drive o� ¢1 on the side, between at premises-owned by whose address is Same and to X Lay House Drain, Repair House Drain, Lay Main, Other for Residential ' occupancy or use, with elm® Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with Six Inch Plastic Pipv,, Permit to be issued to Vito Covensky the holder of Drain Layer's License No. �'-920 924 1 Y Permit will expire on 2/1 2f r4 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 33 i Signed_ r Connection Charge Paid ` , Licensed Drain Layer ,r 4O WLe 10/12/74 Frank J. Smith Issued by Tax Collector Permit Fee: Paid $ _ •O� INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) INSPECTOR 7 i a.� o O O I i i 1 e 'e NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER rc TYPE OF WORK DATE PERMIT b ,9,9 PIPE ;,/,�, INSTALLER INSPECTOR DRAWN BY `>=` To help locate your sewer connection on.the main line ,, please show 'where you would like the connection by drawing a line From he house or the septic tank to the main line in he street. Also, install stake'in yard to indicate line as shown on sketch. IF.you have any doubt please:contact the Town Engineering_Department Phase draw important in Formation such as driveways, large trees and other, obstructions. PLEASE MAIL THIS FORM IMMEDIATELY TO: JAMES S. 1VlIUGES & ASSOC., INC. The Exchange Farmington Avenue Farmington, Connecticut 06032 elei ft L y --- r r16 - - --- -