HomeMy WebLinkAboutDrain Layers Permit 568 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No..
List No.: _S �
DRAIN LAYER'S PERMITO $93
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0 wit" t"et y
on the
side, between
at premises owned by Ua ear B*ttj002
whose address is SO=
and to g- 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 WASTES ( ), OR
Connection will be made with Isix Uch
Permit to be issued to Twat LAM Jr*
the holder of Drain Layer's License No. V 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.
5
SPECIAL CONDITIONS
Signed ,
Connection Charge Paid Licensed Drt ,ayer
7 Issued by fro vidth
----T-ax Collector
Permit Fee: Paid-
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
s
INSPECTOR (Sig)
Nw
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o help locate your se,s✓er connection on the v rna;n 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 line as shown on sketch. If you. have any doubt please contact
the Town Engineering Department.
Please draw important in Formation such as driveways, large trees
and ocher obstru tions.
PLEASE 114-ML. THIS FORtV1 IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue
- - _ -- ---.-'- Farmington, Connecticut 06032
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