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HomeMy WebLinkAboutDrain Layers Permit 2019 Ellington Road TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South_ Windsor, Connecticut List No.: _ "" DRAIN LAYER'S PERMIT p 743. M IMMS&ft 19 24 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at minstffA,Ibid on the MMrA side, between Oakland Bud yfia1w V''t at premises owned by UZI No tomb==* whose address is game- and to Lay House Drain, Repair House Drain, Lay-Main, Other for Ivalamtba occupancy or use, with on* M Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (1), INDUSTRIAL WASTES .( ), OR Connection will be made with 442'UMb rustic Ally to ktftvl knew as stu 314 s at a Permit to be issued to AdM I * YLAM the holder of Drain Layer's License No. Permit will expire on jig 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 u Connection Charge Paid ' Licensed Drain Layer o 02 Issued by411-wa a ar. Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED ,_' E (Date) f (Sig) INSPECTOR r N r� �f i NOTES SOUTH WINDSOR. POLLUTION CONTROL LOCATION - OWNER f. TYPE OF WORK DATE %i``'' PERMIT PIPE INSTALLER , INSPECTOR DRAWN BY,v ' 40 - Rr To help locate your sewer connection on-the main line lease show whare you would like the connection by drawing a line From he house or, the septic tank to the main tine in the street. Also, install stake in'yard to indicate line as:shown on.sketch. .IF-you have •any doubt please:contact the Town_Enginea ing Departrnant: E Please draw important information such as driveways, :large trees er bstuioand oth ns. PLEASE AAAIL THIS FORM IMMEDIATELY TO. JAMES S. 'MINGES & ASSOC., INC The Exchange - Farm irgton Avenue Farmington, Connecticut:06032 t 7 ` 4 { T,1 2f 3 197 f i f .. ; S � r\RSsbctates.- T. r - Y � e ' /VfJ!?� .' -_<'! /l/i._L� /ZZC�1?/1.11L✓�� __� ,�r�1i _�� �� yr�����?�_r �:' f z. ,�!.mom- '��•" ' o��!/ �"_tea'--- ___ - © " N :70r .___ - sl efIllpt s vJe �e� Clef' N�