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TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.. S-6099b
DRAIN LAYER'S PERMIT NO 1042
31sS 25 March , 19 76
Pursuant tp written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ' vSr Brook T)ri Vw (Tnt 19 " on the
aQ„+h side, between
at premises owned by T & M
whose address is -
and to _X_Lay House Drain, Repair House Drain, Lay Main, Other ,
for rpri dAn t;a1 occupancy or use,
with ane (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES OR ( )
Connection will be made with six-i nhh (611) plastic pine:
Permit to be issued to Paul T._ C.nrpy
the holder of Drain Layer's License No. W9-205918 Permit will expire on 25 May
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.
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SPECIAL CONDITIONS
Signed
Connection Charge Paid 0312,�/74 Lice se Drain Lay'
Issued by Melvin Edwards, Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: _ S"3 9
INITIAL Q3jz S /S3 S A (Sig)
FINAL a3� 6 In3e) $.-- (Sig)
APPROVED 2-4 MA2eH i 9 74 (Date)
/xc�b4ci (Sig)
INSPE' OR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 138 Quarry Brook Drive Lot 1
OWNER
TYPE OF WORK House Connertinn
DATE PERMIT lo42 PIPE
INSTALLER Core W - 8
INSPECTOR DRAWN BY
TOWN OF SOUTH WINDSOR
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
emo 0.
�ront ,^�av CONSlRU�lllt `
BUILDERS AND DEVELOPERS
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185 SILAS DEANE HIGHWAY WET ERSFIELD,CT.06109 PHONE: (203)563-3711