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HomeMy WebLinkAboutDrain Layers Permit 534 Graham Road TOWN OF SOUTH WI N DSOR t DEPARTMENT OF POLLUTION CONTROL gip No.: 17-I South Windsor, Connecticut, List.No.: DRAIN LAYER'S PERMITS 837 �-A1— 19-.- � Pursuant.to written application;permission is hereby granted to the Licensed Drain Layer named herein to perform the"work indicated below at : 534 .Qrsahnm Road on the r. eagat side, between Berman Wav & Nevers:Road at premises owned by SMTTH4 Ri ahs.rr],�Tr_ & pe arem A whose address is Ramp and to X_Lay House Drain_, Re pair`House Drain, Lay Main, Other for reeidenti 1 occupancy or use, with one 1) Family Units, with, acres. f Type of Sewage to be connected under this permit: SANITARY SEWAGE (X j, ]NDVSTIfIt1L WASTES .( ), OR Connection will be made with-six-4 mob [(,1i Wast Permit to be.issued to V;;o tS (�.n`!wn s:];t► the holder of Drain La ei's License No' t 9 Y - 4 Permit will aspire on '23-dune 19_ The undersigned Drain Layer Hereby agrees to all t e'terms'"and conditions set forth on the permit and the reverse side thereof. Applicant has received Town Permit No. and/or,C HD Permit No. for street egcavntion. ~ SPECIAL CONDITIONS r R Signed Connection Charge Paid 04 17=Z� Licensed ra jr- 'Tax Collector - Permit Fee:. Paid 'IOQ et: INITIAL (Sig) - ---- -- - FINAL. (Si ) - APPROVED Aril (Date) TSW INSPECTOR /1! To help locate your sewer connection on-the main tine, 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 y to indicate_:line as.showri on sketch. I F you have -any doubt please:dontact ' the'.Fow n Engineering-Department. w PieaseFdraw important inFormat`on such as driveways la y , rge trees. and other obstructions. a PLEASE'MAIL THIS FORM" IMMEDIATELY TO. - s JAMES S. MINGES & ASSOC , INC. The Exchange Farmington Avenue Farmington, Connecticut 06032. .` n V >>z Wiz.. 1511.17,tWc