HomeMy WebLinkAboutDrain Layers Permit 494 Graham Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL `
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT
p 77$
A dam , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 494 Grobas David on the
ftfIt side, between Xwors ftM gad! $g3"'tllm W�y
at premises owned by Civil $r Mais A. Pine stimi
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for t'49.d4t .Ql occupancy or use,
with 0a* W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (Z ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made withffi*,120h (6") Jdantio Ifge to a lateral known as Sta. 48 .5. act p
doptit or 8 iaw
+e
Permit to be issued tovitO P« 00T#4 rt ja COV4M t vet on a*e
the holder of Drain Layer's License No. Permit will expire on 24 XM11 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 Castracter to aseartats gmet lecatial of 0100"t to. marl
091001 his *I" llw tgriaetl accordU ►r
Signed
Connection Charge Paid 01«16» Licensed Drain Layer
*ip t Not Issued by 961YU Idwar4s, Jre --
Tax Collector
Permit Fee: Paid $ -
INSPECTION: Check Number:
INITIAL ^s ".: - (Sig)
FINAL (Sig)
- -APPROVED - - ::. (Date)
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„ CT (Sig)
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To help locate your sewer connection on the main line ,
\,vhc-re you would like the connection by drawing a line from Please
shors
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 other obstructions.
PLEASE MAIL THIS FORM IMIMEDIATELY TO::
JAMiES S. MINGES & ASSOC., INC_
The Exchange -
Farmington Avenue
Farmington, Connecticut 06032
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