HomeMy WebLinkAboutDrain Layers Permit 1887 Ellington Road TOWN OF SWTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT N? 605
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Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ on the
side, between
at premises owned by fla-1 411MA spa
whose address is
and to k Lay House Drain, Repair House Drain, Lay-Main, Other
for 3 41Mt i, 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_ JdX (6) .VX*
Permit to be issued to" f1
the holder of Drain Layer's License No._V%W Permit will expire one 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
v. r'
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Signed '' .mow
Connection Charge Paid /?4 Licensed Drain Layer
r Issued by 7?0 l .. ,`.;t 'kt s hl t: Jr-
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL , U ellg sZ ;a t/ (Sig)
FINAL r ' ,�' - (Sig)
APPROVED ^ z , (Date)
._ �.., (Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER ,<4T&Ij
TYPE OF WORK Fg Tru?fJ�
DATE 6 7 PERMIT Gel' PIPE rVc,
INSTALLER' l'%v
INSPECTOR 42,s DRAWN BY 9-1
IAWPORr,�A17
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 the street. Also,:install stake in yard
to indicate line as .shown on sketch: .IF.you have -any doubt please contact
the Town Engineering Department,
Please draw important information such as driveways, large trees
and other obstructions.
PLEASE MAIL THIS FORM IMMEDIATELY TOs
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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