HomeMy WebLinkAboutDrain Layers Permit 088 Ash Road (2) TOWN OF SOUTH WI N DSOR .
DEPART
MENT OF POLLUTION CONTROL B/P'No.: 046 419-14
South Windsor, Connecticut
List No.: 5-40-y y _
,. DRAIN LAYER'S PERMIT Na 688
f. is fttAmw 19 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at it A& w Lo-r 14) on the
side,
at premises owned by `
whose address is fEilo"
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with am VO Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (I ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made withh
Permit to be issued to ISM Aa ,
the holder of Drain Layer's License No. Permit 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 excavation.
SPECIAL CONDITIONS
Signed ". i „r �., ..• .w ..,
Connection Charge Paid 1* Licensed Drain Layer
69 Issued by l' aftwout #W
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
- - - -- ---- -INITIAL--/�?�1� --1x4s +•" -
FINAL /#//A �? �!' (Sig)
APPROVED /® 15--T-0404 !97¢ (Date)
� lt1Gr� dr (Sig)
INSPECTOR
E 14
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. I F-you have -any doubt please.contact
the Town Engineering Department.
Please draw important in Formation such as driveways, large trees
and other obstructions.
PLEAS` MAIL THIS FORM I:MM`.DIATELY-TO:
JAMES S. MINGES & ASSOC., INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
Do
;y
47
J i3
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