HomeMy WebLinkAboutDrain Layers Permit 496 Foster Street TOWN OF WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _ F
DRAIN LAYER'S PERMIT N? 578
, 1g
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at� ft* St- on the
side, between d & OLM* a
at premises owned by
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 Ift
1
Permit to be issued to lift-
the holder-of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to al t e terms and conditions set forth on the f;b—rlftTt afnd the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
„ten
SignedAli
Connection Charge Paid 0Licensed Drain Layer
Issued by .A.
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number. ''_ �' �
INITIAL t `ff (Sig)
FINAL .,. -
t e (Sig)
APPROVED p> -rOle (Date)
-- (Sig)
INSPECTOR
N
C-p 1 '15
NOTES SOUTH WINDSOR POLLUTION CONTROL -
LOCATION L Si
OWNER xol6c�cj-
TYPE OF WORK
DATE 6 7t PERMIT PIPE �C
INSTAL .Tv �,✓�y✓J�
INSPECTOR r'C S DRAWN BY -S",
To help locate your se4ver 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. IPyou have any doubt please contact-
the Town Engineering Departr;�ent.
Please draw in-ipertant in Formation such as driveways, large trees
and other obstructions.
PLEASE- MAIL THIS FORM IMMEDIATELY TO:
JAIv{ES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 00032
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