HomeMy WebLinkAboutDrain Layers Permit 97 Overlook Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut C
List No.: ig;/
DRAIN LAYER'S PERMIT N? 1591
0.1 121 , 19
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Pursuant to written applicatior, permission is hereb granted to the�iLensed Drain Layer named herein to perform
the work indicated below at / �-C'r9 ��zQ on the
side, between
at premises owned by—
whose address is '7�L�= -�-wZ2
and to Lay House Drain, Repair House Drain, y Main, Other
for occupancy or use,
with1Q Family Units, with
acres.
Type of Sewage to be connected under this permit: �xT✓y"`'� �-t_
SANITARY SEWAGE ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 192j.
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 ,
Signed -Z
Connection Charge Paid C� Lic sed rain Layer
1-300 Issued by
Tax Collector
Permit Fee: Paid $ C1 (�
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
IN PECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION v
OWNER
TYPE OF WOBA a si
DATE PERMIT PIPE ii
INSTAL R -,�1 ;
INSPECTO RAWN BY
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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
to indicate line as shown , install stake in yard
on sketch. IF.you have any doubt please contact
the-Town Engineering Department.
Please draw important` information such as driveways; large trees
and other obstructions.
PLEASE MAIL THIS FORM IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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