HomeMy WebLinkAboutDrain Layers Permit 21 Brewster Road IVWN ur bVU1ti WINDSOR
DEPARTMENT OF POLLUTION CONTROL
,. B/P No.: O
South Windsor, Connecticut
List No.: .,S-6 0 4'�.�_
DRAIN LAYER'S PERMIT 508
Nov. 20 , 19 73
Pursuant to written applicatior,Rpermission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at (LOt Browsior Rd. on the
mml+!k side, between_ M eh IN A— -Q A40ry �
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for—- msd de n ti.1
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with� Zd
Permit to be issued to Norm L't1 . 11 n*
the holder of Drain Layer's License No.j0=20fim Permit will expire on Jan. NJ 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
Signed
Connection Charge Paid 11116173 Licensed Drain Layer
P*r. Ed Moniz Issued by-- Ra ll)h A. St&rjwa&ther Jr.
Tax Collector
Permit Fee: Paid $ _ 1 .
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED_ ., _ (Date)
(Sig)
INSPECTOR
N
i
i
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION L U I /-X ( zj
OWNER
TYPE OF WORK
DATE %/ 2 c-,b PERMIT Cc-) PIPE
INSTALLER
INSPECTOR DRAWN BY t'
s
0
sp
d
00
Ste, 2
50
a 55
BREWS TER ROAD
Map Prepared For
NO. BREWSTER ROAD SOUTH WINDSOR, CONN .
Being Lot No. 54 on map entitled, "Plan of Orchard Heights, Avery Street,'
South Windsor, Connecticut - Scale: 1" = 401 , May 20, 1965 - Hayden L.
Griswold, C.E."
,;.
orsa<il,rsr r,
SCALE: 1" = 40' Pk,o�o`= DATE: October 22, 1973
s w� �:.� st,• G
tr' No.2683
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GRISWOLD & FUSS, INC.
210 Main Street
Manchester, Conn 06040