HomeMy WebLinkAboutDrain Layers Permit 160 Quarry Brook Dri .. TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut S ®9(
List.No.: _
DRAIN LAYER"S PERMIT O 1043
25 Marcli , ig /6
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to'perform
the work indicated below at 1 SO' Aun)rx tr'Brook Di--i ye (tot 17) on the
sa th side, between
at premises owned by
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for residential occupancy or use,
with one (•1').- Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (-X j,:INDUSTRIAL WASTES.,.( ), OR ( )
Connection will be made with six-inch 11-a r,Mc rya
Permit to be issued.to_ Pahl L. Corpy
the holder of Drain Layej, License No. W9-205918 Permit will expire on 25 MRy 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 o3/z¢/7e, Licensed Drain La
ye
12EC, 940 Issued by Melvin Edw u-ds, Jr.
Tax Collector
Permit Pee:. Paid $ _ 15.00
INSPECTION: Check Number: " ' `
INITIAL c;3/26 CJ 10.?d "z— (Sig)
FINAL 93A,4 c91 v j o �ZL- (Sig)
APPROVED 2 4./fir 2c rr (974, (Date)
(Sig)
INSP1ffC OR
G, 2S
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NOTES SOUTH WINDSOR POLLUTION CONTROL
' Drawing not to scale. LOCATION Brook Drive Mot 9
OWNER
TYPE OF WORK House Connection
DATE PERMIT io43 PIPE
INSTALLER
INSPECTOR DRAWN BY
r
TOWN OF SOUTH WINDSOR
T TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . . . . . . . . . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date