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HomeMy WebLinkAboutDrain Layers Permit 497 Foster Street TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: S Ga&(off_ DRAIN LAYER'S PERMIT Na 656 e t. 20, IW4 119 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at - I1W Famster Strgot on the side, between at premises owned by Melvin. D. Heckman, whose address is � and to X Lay House Drain, Repair House Drain, Lay-Main, Other for Reglide1 occupancy of use, with 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 ISO Plastic pipe Permit to be issued to Vito P. Gvez the holder of Drain Layer's License No. W- 9205924 T Permit will expire on 10/20/T4 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 9/20/74 Licensed Drain Layer Par. 1. Noxiz Issued by Frank J osmitk - Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: r r INITIAL -7 - (Sig) FINAL (Sig) APPROVED / (Date) f , ,' (Sig) INSPECTOR i yo. cs ' __...mom.__....._....,.. 4 f s i a `f h a { l 1 i NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 477 F Lc OWNER TYPE OF WORK DATE PERMIT INSTALLER INSPECTOR - . DRAWN BY �'. To help locate your sewer connection on.the main line, please show ✓here 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 .she Town Engineering Department. Please draw important information .such as driveways, Large trews ' and other oblstructions. PLEASE MAIL T 1-ITS FORM IMMcDIATELY TO: DAMES S. MING:=S a ASSOC. The Exchange Farmington Avenue Farmington, Connecticut 06032 i - -- --——r — it kk� izN yf t 12 ( �� 1 Fir• ! ' � Ii ` 3 - i