HomeMy WebLinkAboutDrain Layers Permit 721 Graham Road TOWN OF SOUTH WINDSOR .
DEPARTMENT OF POLLUTION CONTROL B/P No.: � ..
South Windsor, Connecticut
List No.: _S�'`77Z
DRAIN LAYER'S PERMIT NO 846
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at $nkm " on the
wat side,3%0eAn facing WUort *,-Iv*
at premises owned by-XPAMMIlr 144ift0l 1. & it-, '=R
whose address isOMMO
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with f i i Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ), INDUSTRIAL WASTES .( ), OR
Connection will be made with ves
aft- Ch (611) ea t joiAt #146t q yj to .* 1&teraj known #a
4"th of
Permit to be issued to
the holder of Drain Layer's License No. "-20"9 Permit will expire on 29 .JUSO 19 '715.
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
-
Connection Charge Paid W17AP5, Licensed Drain Layer
tips Issued by 11AWArf i Jr*
Tax Collector
Permit Fee:. Paid $ _ *
INSPECTION: Check Number: .g
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
,- (Sig)
INSPECTOR
T lrv�v Qf- .SflUrt 6rt/rffJsv -
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To--help locate your sewer connection on.the main tin
please show
where You would like the,connection by-drawing a Ifne h^a i the house or
the septic tank to the Main line in the street. ::Also, insta't stake:in yard
to indicate line as showri�on sketch. IFyou have an dou
r -the Tannrn Eri Y please contact
gineeding-Uepar'tment
Please draw tpo
mrt3nt 1nFarmatton such as:-drtvewa
and oifier�obst , large trees
rttcitOn3 F % ' , a
rs+ , Lam.-ti.t ,'•s� +'*';
r +- 9 y. - i"` r1,q t a`9S r+FF. 'ske - <i �' -•" {k t 3 't S y-.- t ; , -
P LEASE. MA IL THIS FORM IMMEDIATEL" TO
NZ
JAM S MINGES &I�ASSOe �}A iEV G s 3
SThe Exchange v
Farmington Avenue
. _ Farm ingtor J-ConnecttcUt 06E3 4 A
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