HomeMy WebLinkAboutDrain Layers Permit 62 Quarry Brook Driv (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: a/
DRAIN LAYER'S PERMIT 108
10 May 19 76 .
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named he to perform
the work indicated below at 6 Z Quarry Brook Drive (Lot 4) on the
south side,XXF%yeVA southwest eornerof Quarry Brook & Simcka drives
at premises"owned by KLEIN Alan & Annette
whose address is 61 Juniper Lane West Hartford 06117
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 (XX), INDUSTRIAL WASTES OR ( )
Connection will be made with six—inch (6") plastic pipe.
Permit to be issued to Bovio Cn abella. Jr. .
the holder of Drain Layer's License No._ W9-207224 Permit will expire on 10 July 19-2b._
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
Sig ed
Connection Charge Paid -o3-76 / Licensed Drain Layer
Rec. # 969 Issued by Melvin Edwards, Jr.
Tax Collector
Permit Fee: Paid s
1038
/ IY4 l 7 7 e
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NOTES
— SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION " Quarry- Brook Drive (Lot 4)
OWNER
TYPE OF WORK House Connection
DATE -S / 74, PERMITio82 PIPE.
INSTALLER Bo W - 0 24
INSPECTOR _ DRAWN BY ...
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Iry
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SL 11, Certified s�l�e iti lly eorrect aid-#4-gevo as with Class A - 2, Code of Connectieut Teeba leal'cc 1,
i R.V.KOri OWS10 , C.E
I hereby certify this plaid_be substantially correct,
Theodore A. Dubitzky , -P.E.,LIN
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sS CA L F . ''_ 20 '.. DATE' 4-12- 76
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