HomeMy WebLinkAboutDrain Layers Permit 145 Farmstead Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
- List No.:
DRAIN LAYER'S PERMIT
O 829
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ r^ ) on the
side, between
at premises owned by IMCIMI" stall.
whose address is
and to _ Lay House Drain, Repair House Drain, Lay-Main, Other
for fts± .F;a-1 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 E;i__ : _wPI2a1in Pi me
Permit to be issued to
Artnur . 0golkin
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agre ; rms 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 7.52 Licensed Drain Layer
— — ,�! Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: ash ( 0?9)
INITIAL (Sig)
a
FINAL (Sig)
APPROVED _ _ - (Date)
(Sig)
INSPECTOR
e
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, install stake in-yard
to indicate line as shown'on sketch. IFyou 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.
JAMES S. MINGES & ASSOC., -INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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