HomeMy WebLinkAboutDrain Layers Permit 041 Ash Road (2) TOWN OF SOUTH WI N DSOR
�{ DEPARTMENT OF POLLUTION CONTROL
... �\ B/P No.: ,24..E
South Windsor, Connecticut 6OS7�
List.No.: _•
DRAIN LAYER'S PERMIT Np 687
16 O.et*ar , 19 71,
Pursuant to written *plicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 49 Amb IWA on the
aside, between_ BOA ?"d AlMd Dor" LWW
at premises owned by %bart Lo ftbbZJ
whose address is
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for rfa�itt4Mf .�t°. occupancy or use,
wither Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with mb�- tah (60) Artafte An to n Uteral kwm118! Sta. 5+10t oxt a
A!Rtb of 9.60!.
Permit to be issued to John A. tram or
the holder of Drain Layer's License No. V96-mWIR Permit will expire on 18 fAembex' 19 7
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 ,
Connection Charge Paid 10-1"4 j Licensed Drain Layer
R"Olpt 1I1e. 613 Issued by Melvin Wwx--dE!♦ Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
..-- ------- -(SiB� - - -- -
FINAL (Sig)
APPROVED 115 1974 (Date)
.�.:, 4sJowa� 0-2 (Sig)
INS TOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 41 Asw (2aAo
OWNER No A r L, G-s",c
TYPE OF WORK Sew &A,4ge-mot4
DATE io-i s- PERMIT �s7 PIPE4" LAs
_INSTALLER 1-AJlA&a4tW 0—a44t2n
INSPECTOR -- DRAWN BY A—
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. 'IP.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. MiINGES & ASSOC. ,.INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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