HomeMy WebLinkAboutDrain Layers Permit 541 Foster Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUtION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER'S PERMIT �p� Z
N° 616
19 74
_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
_side, between_ s;a t lit.
at premises owned by a ,•
whose address is SMO
and to Lay House Drain, Repair House Drain, Lay Main, Other
for read r t i Al
occupancy or use,
with 93319 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( INDUSTRIAL WASTES .( ), OR
Connection will be made with dig W- a„4,sk p r ��
Permit to be issued to
the holder of Drain Layer's License No. 11(a 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 +• +
3 f
Signed
Connection Charge Paid 2/1 Licensed Drai ayer
1 X jg i gi Issued by
- --Tag-Collector
Permit Fee: Paid $
INSPECTION: Check Number: '`
INITIAL r,'f 9 .+ `, (Sig)
FINAL r
'S .,` .r``� �/. (Sig)
APPROVED F [' _ f (Date)
(Sig)
INSPECTOR
N
t
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION / -GS7I-e -S' .
OWNERG���
TYPE OF WORK
DATE c 7� ERMIT / PIPE ✓C.
INSTAUEKV► ' � �, ; :, , t,
INSPECTOR r' DRAWN BY !
lam'w/v '
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 lineas shown on sketch. IF.you have any doubl please contact
the Town Engineering Department.
Please draw iMporiant information such as driveways, large trees
and other obstructions.
PLEASE_. MAIL THIS FOF;N'i IMMEDIATELY TO:
JAMES S. MINCES ASSOC, , INC.
The Exchange
Farmington Avenue
-- __- --- _-^-"— Farmington, Connecticut o6o32
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