HomeMy WebLinkAboutDrain Layers Permit 2305 Ellington Road TOWN 4SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _
Souuth Windsor, Connecticut
2.
List No.:_AQWk39M3
DRAIN LAYER'S PERMIT
0 623
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ii �� a on the
West side, between _3lr&e S _ 111411
at premises owned by .+ i aaa WJ 41
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for 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 AdX
€i.
Permit to be issued to AshaZd fa e' g6k"r
the holder of Drain Layer's License No. .w- Permit will expire on 19 _
The undersigned Drain Layer hereby, agrees to all the terms and conditions set forth on themit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS K*W lftoU& Took wist be ergs. &VA bw VL1AA
Signed
Connection Charge Paid
+ s �► Issued by A. t Aw�y!+At aw, Jam.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ot"
INITIA !� .,s ' "1A (Sig)
FINAL f 9 e► `7 (Sig) _
APPROVED f ' (Date)
(Sig)
INSPECTOR
N
7 y'
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ,lov Etc��GibN Kb
[OWNER K/c 141V f,0
TYPE OF WORK
DATE Z ? PERMIT PIPE 09
INSTAL ��naF a�,✓rY��
INSPECTOR ,o ' DRAWN BY -f'
i o help locate your seVver conn--ction on the main line, please show
where you +would like the connection by drawing a line From the house or
the septic tank to the t-rain 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 in For natt-Lon such as driveways, large trees
and other obstr;.,ctions,
PLEASE MAIL THIS FO;PvA, NVUVIEDIATELY TO:
JANIE S S . M,INGES & ASSOC. , INC..
The Exchange
Farmington Avenue
Farmington, Connecticut 06012
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