HomeMy WebLinkAboutDrain Layers Permit 50 Farmstead Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 839
4-2-4-2s 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 50 lt'atrmm4hosd Drive 6 L 5&, on the
side, between
at premises owned by-Paul ftdraatts
whose address is asm
and to X Lay House Drain, Repair House Drain, Lay-Main, Other ,
for R*sid*stia l occupancy or use,
with Offi.A Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with SiX IRCh Pl*stie Pip*
Permit to be issued to Adam W +Kiw nki
the holder of Drain Layer's License NoW"9 /539 Permit will expire on 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
Signed
Connection Charge Paid Licensed Drain Layer
774 Issued by FZ*Ak J• Smith
Tag Collector
Permit Fee: Paid $ ___
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
_ APPROVED (Date)
(Sig)
INSPECTOR
- 1
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To help locate your sewer connection 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 main line in the street. Also insfall stake in.yard
to indicate line as showri'on sketch. :IFyouu 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 TO.
JRMES S MIlNGES & ASSOC- ING.
The Exchange
Farmington Avenue
Farm ing ton, Connecticut 06032
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