HomeMy WebLinkAboutDrain Layers Permit 523 Graham Road TOWN Of. SOUTH WI N DSOR
DEPARTMENT OF POfUT1ON CONTROL
B/P No.: 9"+.
South Windsor, Connecticut, +
List No.:
DRAIN LAYER'S PERMIT
775
� 19 `
Pursuant to written applicator; permission is hereby granted to the Licensed Drain Layer named herein to perform_
the work indicated below at on the
side, between w
at premises owned by + t
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, - Other ,
for occupancy or use,
with 404 Family Units, with 1 acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (I), INDUSTRIAL WASTES .( ), OR
Connection will be made with iddam to a Wow know sA 6U. 1946r At
Permit to be issued t s mug, ` h3d= & karst 006& UQ&
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.
3 SPECIAL CONDITIONS jr to aftorftis owt lassUm Wdi won# md
Signed
Connection Charge Paid #- '# ¢' icensed Drain Layer
de
Issued by wide* Jr*
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL;,; (Sig)
14
APPROVED , : ;: 4. (Date)
(Sig)
INSPECTOR
rrI rr
To help locate your, se\,ver connection on the Main line. 1
v�rhere you would like the , please snofu
Y 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 in Formation such as driveways, large trees
and other obstructions.
PLEASE MAIL THIS FORM IMMEDIATELY TO:
JAMES S. MINGES & ASSOC, , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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