HomeMy WebLinkAboutDrain Layers Permit 635 Graham Road TOWN OF SOUTH WI N DSOR ;
DEPARTMENT OF POLLUTION CONTROL gip No.: 9li-I
South Windsor, Connecticut
List No.: _ S6 6
DRAIN LAYER'S PERMIT *Tp 802
21 February , 19 75
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 635 Graham Road on the
want side, between lldntor Band lmd 024 Wn Hand
at premises owned by Lucien . l+larchaaaea sl t
whose address is am*
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with 4me 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ), INDUSTRIAL WASTES _( ), OR ( )
Connection will be made with ,.
Sta. 1+41, at a dapth of 8,0'�.
Permit to be issued to Addw Sr Wffii ow-&
the holder of Drain Layer's License No. Permit will expire on 21 April 19-75.
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
Signed-
Connection Charge Paid 02/19 Licensed Drain Layer
001at if*, 738 Issued by MVIAnt NdWalft, jr.
Tax Collector
Permit Fee:. Paid $ _ DE3
INSPECTION: Check Number:
INITIAL .
(Sig)
FINAL - (Sig)
APPROVED ; .f :a (Date)
SPECTOR
ZwAl air
IAWPORI',�,qA17
To help Iocate your sewer connection on the main line, Please show
vnih-re you Would like the connection by drawing a line From the house or
the septic tank to the main line in the street. Also
to indicate tine as shown , install stake in yard
on sketch. IF.you have any doubt please contact
the Town Engineering Department.
Please. draw important in Formation such as driveways, Iarge trees
and other obstructions.
PLEASE MAIL THIS .FORM IMM`OIAT°ELY TO:
a M ES S
. MIN
v ES & A SSOC. s INC,
The Exchange
Farmington Avenue
Farmington; Connecticut O6032
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