HomeMy WebLinkAboutDrain Layers Permit 542 Graham Road ... TOWN OF SOUTH WI N DSOR
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DEPARTMENT OF,,_PgLLUTION CONTROL
B/P No.: nn ,
South Windsor, Connecticut
List No.:
DRAIN LAYEVS PERMIT 8
38
2TApx1 19._. �
`Puts iant•to written applicatior, permission is hereby granted to the Licensed Drain Layer Wanted hernia to`perform
• .
the work 4dicate ri5el
l ow, at .(3r ham. Rn�A on the
1b siCe ,betweeaTe►rn, � �13�—$;Move
Afk6�
at prenises owned by �ernvt»c ,,.,Mt
whose address is
a�. d'to X' Lay House D ai'i, Repair House Drain, Lay Main, Other
for
oiccupancy or.use',
With orie 0) Family`tJ its, with acres.
'Type of Sewage to be connected under this permit:9
SANITARY SEWAGE (7C' j, INDUSTRIAL WASTES,.( ), OR'
Connection will be made with si:x..i n(2b pipe
y Permit to be issued to
the holder of Drain Layers Dicerise No: .: Permit wrill espue on`:, r� ,�: Ig
The undersigned Drain Lay x�'hereby agrees to all t e terms snd'oonditions":set fgrth on the pe emit and t_he revs;se sid
thereof. Applicant has received Town Permit No and/or C H D Permit No
for street excavation. _ -
SPECIAL CONDITIONS
x
t
Connection Charge Paid OE#— s
issiied by
Tau Collector
Permit Fee Paid $ 14;-M
INSPECTION; a Number:dQI
�Tr,
INITIAL -
(Sig)
FINAL Mit)
APPROVED` (Date)
r
(Sig) _
INSPECTOR ,
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To help locate your sewer connection on the rnain line please
".'here you Would like the connection by drawing a line From the hoes show
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 coltac"
the Town Engineering Department.
Please draw important in Formation such as driveways, large trees
and other obstructions.
'LEASE MAIL THIS FORM I1V11WEDIA T ELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange
Farmington Avenue .
_ Farmington, Connecticut 06032
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