HomeMy WebLinkAboutDrain Layers Permit 062 Ayers Road (2) TOWN 'OF" SOUTH WI N DSOR
1 DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.: S` G z I
DRAIN LAYER'S PERMIT
O 506
19_ _
too Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 62 AJAWS on the
902+A side, between 1" 4111110" loom
at premises owned by 13s
whose address is &WA
and to 2 Lay House Drain, Repair House Drain, Lay Main, Other ,
for r4el vatiA occupancy or use,
with ow Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with (61 +PsV*Gs 41111111111110M tb Et IMN609a 1800AM It SU
Permit to be issued to%to" to alms OA141
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_ VvAa t
Signed _..
Connection Charge Paid Jj-*jT#m Licensed Wain Layer
" Se, Issued by / V # *s Jr.
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL ?_ 9'V V (Sig)
FINAL 11,1-/! 72 10!oo aw (Sig)
APPROVED / TDate)
. .. .- (Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION �' f
OWNER = 7 7- � F
TYPE OF WORK sF ✓ " ' z
DATE ii �g PERMIT PIPE
INSTALLER r p� %�✓
INSPECTOR `'.J DRAWN BY 0='
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Town Hall, 1540 Sullivan Avenue, South Windsor, Connecticut 06074
WAIVER
WHEREAS, Ernest Turek of South Windsor, Connecticut desires to connect his
premises at 62 Ayers Road to the sanitary sewer system of the Town of South
Windsor, and
WHEREAS, because said Ernest Turek has erected a concrete patio over the
house sewer leading to his septic tank, and
WHEREAS, in order to connect said house to the sanitary sewer system it will
now be necessary to make said connection to the orangeburg house sewer, and
WHEREAS, said connection is not in accordance with commonly accepted practices
and may in the future result in sewerage backup with resulting damage to the premises;
NOW THEREFORE, in consideration of the Town of South Windsor permitting said
Ernest Turek to connect to the sanitary sewer through use of the orangeburg
house sewer, the said Ernest Turek, for himself, his heirs, executors and assigns
hereby agrees to hold the Town of South Windsor harmless from any and all claims
for damages of any nature whatsoever resulting from or attributable to the
connection above mentioned.
Dated at South Windsor, Connecticut this 21st day of November, 1973.
1
Ernest Turek