HomeMy WebLinkAboutdrain layer permit 21 Mark Drive hwl�
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. _IF.you have any doubt please contact
the Town Engineering Department.
Please draw important information such as driveways, large trees
and otherr obstructions,
PLEASE MAIL THIS FGRJVi IMMEDIATELY TO:
jAMES S. MINGES ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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=f VAN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut � �4'
+ List No.•f
DRAIN LAYER'S PERMIT p .
N. 6'74
1 0 19 74
Pursuant.to written app icauor, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below aat 21 In* VMV* C LoT 41 on the
20246 side, between 6—ro In Ned ad Anuft
at premises owned by 11bbect •o 1*0*10
whose address is �!
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
`SANITARY SEWAGE (t), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with i L& ` Alt
too or.
6,3916
4
Permit to be issued to SAW1 1" DW ft'
the holder of Drain Layer's License No. ""IR" 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
..,r ,,thereoi. Applicant has received Town Permit No. and/or C H D Permit No.
for.street excavation.
SPECIAL CONDITIONS
Signed -t
Connection Chae Paid Licensed Drain Layer
e Issued.by t, Jr,,
Tag Collector
Permit Fee: Paid $
INSPECTION: Check Number: aT '.
INITIAL 4 09 (Sig)
4 � FINAL. (Sig)
APPROVED r (Date)
(Sig)
INSPECTOR