HomeMy WebLinkAboutDrain Layers Permit 504 Foster Street y TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN . LAYER'S PERMIT Nd 1227
19
Pursuant to written applicatior, permission
//is hereby ted to the Licensed Drain Layer named herein to-perform
the work indicated below at on the
side, between
at premises owned by U
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 X, INDUSTRIAL W STES . ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. 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 Y
.40
Signed
Connection Charge Paid 16,P6 Licensed Drain er
Issued by
Permit Fee: Paid $
INSPECTION: Check Number:
- -- INITIAL (Sig)
FINAL (Sig)
--APPROVED _._ ? . . - - - ----
(Date)
(Sig)
INSPECTOR,
Ta-
% � v
211
�b
NOTES SOUTH WINDSOR POLLUTION COMM
LOCATION
OWNER
TYPE OF WORK
DATE S- -2 7 PERMIT /?- PIPE
INSTALLER
INSPECTOR G DRAWN BY
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date 77. . . . . . . . .
The Sanitary Sewer X . . . Septic System . . . . . . . . . .
at . . . . .
or lot #. . . . . . .. . . . . . . . .. has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted n Approved
BY G � f � -- s�-1 717
Date
Ll
To help locate your sewer connection on-the main line, please show
'where you would Mike the connection by drawing a line from the house or
the septic tank to the main lire in the street. Also, install stake in yard
to indicate line as shown on sketch. If.you have any doubt please contact
the --;own Engineering Department,
Please draNN important information such as driveways; large trees
and other obstructions.
PLEASE (MAIL THIS FORM Z1V;1v1EDIA EELY TO:
JAMES S. IMINGES & ASSOC.., INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
q ! j
is
I -