HomeMy WebLinkAboutDrain Layers Permit 323 Graham Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.: _
List No.: _
DRAIN LAYER'S PERMIT N? 2563
6 , 19 2--
Pursuant to written application, permission is ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �q;, 3
on the
side, betwe n
at premises owned by d-
whose address is
and to . Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with + <H
acres:
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL,WASTES ( ), OR
Connection will be made with
Pormirto:be issued to
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. r
for street excavation,.. '
SPECIAL CONDITIONS
Signed
Connectio ~arge Paid ,Vr�,~ L Licensed Drain Layer .
Issued by
_Tax Collector,- r
Permit Fee:. Paid $ 2-
INSPECTION: Check Number: sc�
INITIAL
_ (Sig)
FINAL (Sig) - - - - -- -
- - APPROVED Date
INSPECTOR (Sig)
ter;
To help locate your se\,ver conne t
4vh� ctron on tr-2e main line, please snow
ire you Would like the connection by drawing a line From the
the septic tank to the main line in the e house or
street, Atso, install stake in yard
to indicate line as shown on ske-tch.. IFyouu have any doubt Please tho Town Engineering Departmen e contact
ontact
Please draw important information such as driveways
and other obstructions, large, �rcas
PLEASE NAIL THIS FOP1V1 I1V1TviEDIATELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Far rningtor, Avenue
Farmington, Connectictrt. Oa0.32
if t
' + i
e t i
_ t
s
{ _-....._,. __ .,.--_•._--...._.._._..._..... ;'"" if f-i Y£ t. lr ..- •., f _ :I �, - 2
tom! •-_ ,