HomeMy WebLinkAboutDrain Layers Permit 525 Foster Street " } TOWN. -Of - SOUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT' `
N? 593
24 Jim& 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at "!t5 'es 4t on the
-- y4at side, between n-yfv -, t V)rJ"� r. _a2t
at premises owned by m), Kftrtia
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with O.RO Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR
Connection will be made with 04X ( ) igOh 'PIA1Ot .{j
Permit to be issued to.Pit* 1kf
Ahl
'°:holder of Drain Layer's License;o . 4 Permit will expire on ^14 txlr,
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has regeived Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 6/14/7 F Licensed Drain Layer
r. **. '518 Issued by PAIP11 A* tX7kW—V`I Y Jr*
Tax Collector
Permit Fee: Paid $ _ * _
INSPECTION: Check Number:
INITIAL41
`; ' 41 (Sig)
FINAL ` " t' (Sig)
a
APPROVED ' ` "` (Date)
INSPECTOR
(Sig)
N
S�S
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION S.2,3 `oSJ7--R Ji
OWNER o
TYPE OF WORK SEr✓,�,e Lq ,pgL
DATE G is 7 PERMIT 3 PIPE V/c
INSTALLS ,'T0 C o 41le--I,
INSPECTOR DRAWN BY J-
To help locate your sewer connection on the main line, please show
Vvhere you v:Vould like the coi-Inection by drawing a lin- From the house or
the septic tank to the Mai
n line in the street. Also, install stake in yard
to indicate line as shown on sketch. If YOU have any doubt please contact
the Tovrn Engineering Department.
Please d{^aw important- information such as drivewa nd other obstructions. Yc, large tree
PLEASE MAIL THIS FORM IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. INC.
The Exchange
Farmington Avenue
-- ---
Farmington, Connecticut 06032
j I- �I