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HomeMy WebLinkAboutDrain Layers Permit 049 Ash Road (2) ., TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: 5—e " DRAIN LAYER"S PERMIT N? 666 OCto2*1974 $ 19 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 49 Ash Load on the side, between at premises owned by Goo. Link© whose address is Sopl4 and to x Lay House Drain, Repair House Drain, Lay Main, Other , for Residential occupancy or use, with OIIA Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEW4fiE (g), INDUSTRIAL WASTES ( ), OR ( ) Connection will be made with Sin 14612 plabtiC pipe (601VORt JOIX9 Permit to be issued to Adam WianieVski the holder of Drain Layer's License No. W9 296M Permit will expire on 12/2/74 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 Signed Connection Charge Paid591 Li ensed Drain Layer 9/25/74 Issued by Frank J• Smith Tax Collector •t� Permit Fee: Paid $ _15*00 INSPECTION: Check Number: - FINAL (Sig) APPROVED ? (Date) r /f F ! � (Sig) y- INSPECTOR N - I . 0 NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 9� OWNER l TYPE OF WORK DATE PERMIT PIPE , INSPECTOR - r DRAWN BY ` ems^ 7'WA1 67,' t/%tea' /t"v'Io opt To help locate your sewer connection on the main tine, please show where you would like the connection by drawing a tine 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. Pleose draw irnpor'tan� z�Forrriat�.on �uch as �^�vevvays,_largv trees _. = - - — - - ans other abs`tructtons, - - _ _ PLEASE MAIL THIS FORM IMMEDIATELY TO JAMES S. MINC. E & ASSOC.:, The Exchange - Farmington Avenue Farmington, Connecticut 06032 PTIC I. •. 'i f ;-tin/ s f "" TANK N0A f j .� F l �A 2 life LOT -T tiz 4, �, —— --