Laserfiche WebLink
Sewer Connection Application <br /> Windsor Sanitary District#1 <br /> Application No. 5406 Date: May 18.2015 <br /> Veridian Homes Ab, LLC hereby makes application for sewer service at the following location: <br /> (Owner) <br /> Address: Dutch Diamond Way Lot: 242 Block: — <br /> Parcel No. – Addition: Holland Fields <br /> Type of Building: K Single Family Multi-unit dwelling Commercial Industrial <br /> Kind of Service: K New Replacement Improvement <br /> Size of Connection: 4 inch Type of Material PVC <br /> Name and address of firm doing the proposed work: Dave Jones Plumbing <br /> Madison,WI <br /> The customer is responsible for the cost of material and installation from the sewer main to the structure. if a road <br /> crossing is necessary,trenches in paved streets shall be refilled with compacted sand or gravel.There will be 6" <br /> deep concrete bridging placed over the excavation and 2"bituminous mixture(hot mix)placed over the concrete <br /> to match street grade. <br /> Remarks: <br /> In consideration of the granting of this permit the undersigned agrees: <br /> 1. To accept and abide by all provisions of the sewer use ordinances of the Madison Metropolitan <br /> Sewerage District and the Windsor Sanitary District#1 and all other pertinent ordinances or <br /> • regulation that may be adopted in the future. <br /> 2. To maintain the building sewer at no expense to Windsor Sanitary District#1 <br /> 3. To notify the Town of Windsor Plumbing inspector when the building sewer is completed and <br /> ready for inspection,but before any portion of the work is covered. <br /> 4. To install tracer wire and grounding rod in accordance with WSD#1 ordinance. <br /> Remarks: <br /> V't a_ &M.11-1--c- <br /> Date: May 18,2015 Signed <br /> (applicant) fpgo// �7Tp41'Ut <br /> $ ,co Hookup fees paid. f/ l L.d_,�ao, n 1 k 2 S 3—) (3 <br /> (address of applicant) <br /> tir4)6V -• to 0 e_aiD.L_ <br /> ('uperin endent,clerk,etc.) (phone) <br /> 4. CONDITIONS: <br />