HomeMy WebLinkAboutDrain Layers Permit 46 Henry Road TOWN OF SOUTH WINDSOR
'DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut S�ofc/3
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List.No.: -
DRAIN LAYER'S PERMITT?. 945
94,a/75 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the;work indicated below at 46 Henery Road. L 20 -on the.
side, between
at remises owned by Richar Staubach
whose address is Same
and to __? Lay House Drain, Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Six Inch Plastic pipe
Permit to,be issued to Wes1_w T. Hil u
the holder of Drain Layer's License No, W-9'207045 1?ermit 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 excavatiop-
SPECIAL CONDITIONS
signed
Connection Charge Paid pfE ^f icensed Drain Layer., „
-- .
- -Issued by drank J,= l3,nith- -
Tax Collector
Permit lee:. Paid
-1'N5PECT'UN; Check Number 9721—
INITIAL l (Sig)
FINAL
APPROVED JL �► (Date) r
- (Sig)
INSPE
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sl,t 3
To help locate your sewer, connection on-the main Iine, 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 Erigineeding Department.I Lease draw
,
fmportznt to ormation such as driveways,.large trees
and other obstructions A
PLEASE 11rtATL : HiS FORM Ir4,'V4CDIATEi_Y TE}.
lviES S AA
INGES & ASSOC., INC. _
- The Exchange ;
Farmington Avenue
Farmington, Gonnedticut 06032
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