HomeMy WebLinkAboutDrain Layers Permit 545 Graham Road TOWN OF [.SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.: 1171 "
South Windsor, Connecticut
List No..
4,S_ DRAIN LAYER'S PERMIT p
777
119 25
<A.
Pursuant so.written appl ci atior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0 2031A on the
side, between 1 _
at premises owned by_
whose address is
and to I Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy, or use,
With-. fflw W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made withofta#tt b jLjAMft,jk yo to I&t&zml so &I& �2 � �t �
Permit to be issued t 4"Mmmuft an * ION
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.
SPECIAL CONDITIONS' 'I k Mat jaft_tUft of 0~1ij 1o., Md
Signed -
Connection Charge Paid •a+ ensed Drain Layer
- -- - q1 Issued by jV0
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL. L�t> (Sig)
FINAL ' . + (Sig)
APPROVED-.--- 1 "` (Date)
r.
(Sig)
INSPECTOR-
1fi11POR7�AJT
To heIrr locate you, sewer connection on the main tine
where you would like the connection b drawing a line From he Please show
y g '' house or
the septic tank to the main line .in the street. Also, install stake in yard
to indicate line as shovvn'on sketch IF.you have any doubt please contact
the Town Engineering DepartmenE,
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
I------ -- r_
Farmington, Connecticut 06032
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