HomeMy WebLinkAboutDrain Layers Permit 025 Ash Road (2) TOWN OF" SOUTH WINDSOR �
DEPARTMENT OF POLLUTION CONTROL B/P No.: "
South Windsor, Connecticut ,S e.09 7Z—
List No.: —'"
DRAIN LAYERS PERMIT
N.p
689
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 25 As &u ( L -54 L'7 on the
Opu't side, between C$ $t Boa d �w Vorin tons
at premises owned by 10+ lawtm
whose address is am*
and to X Lay House Drain, Repair House Drain, Lay-Main, Other ,
for occupancy or use,
with ile (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( fit), INDUSTRIAL WASTES ( ), OR ( )
Connection will bemade with e�3ar4120hl (6'*) Ue pS� to a Uterel 9ei as i� p 3+16, at a
dash of 909'-.
Permit to be issued to 3oki A* IMWu
the holder of Drain Layer's License No. W9-W6.11?16 . Permit will expire on 21 Dec 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
I
Signed ,
Connection Charge Paid V-21-114 Licensed Drain Layer
ftegig 1+004 7-9 Issued by melviu Ldwowcle. Jr.
Tax Collector
Permit Fee: Paid $ _ •
INSPECTION: Check Number:
- - ---INITIAL -- — (Sig- --
FINAL 1n/Z3 6 4917 (Sig)
APPROVED 23 10.404 1974- (Date)
Zzej¢f ' (Sig)
INSP OR
nor
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 line as..shown. on .sketch. _IFyouu 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
407
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