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HomeMy WebLinkAboutDrain Layers Permit 21 Quarry Brook Driv TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut B/P No.: List No.: 4100 DRAIN LAYER'S PERMIT N° t041 r,, 25 March , 19 76 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named.herein to"perform the work indicated below at 21 Quarry Brook Drive (I t 1) on the north side, between at premises owned by T R, M 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 (a, INDUSTRIAL WASTES .( ); OR (; ) Connection will be made with six-inn1___ (All s �„gIno Permit to be issued to Pa �l L C.c�rey the holder of Drain Layer's License No. 9-2 5918 Permit will expire on 19�(z The undersigned Drain Layer hereby agrees to all thg 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 6.? 74/76 Licensed Drain Lay Issued by Mp1 vin FAWArvin 7 k Tax Collector --+-- Permit Fee:. Paid $ INSPECTION: Check Number: Z39 INITIAL (Sig) FINAL. _ /� (Sig) 2 A APPROVED omit 1974, (Date) A—r, mT,y a�E.•� (six) INSPECTOR N NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not scaled. LOCATION 21 Quarry Brook Drive (Lot 1) OWNER TYPE OF WORK House Connection DATE pq10zJ,-7e, PERMIT 1041 PIPE INSTALLER Core (W -20 18) INSPECTOR M TF DRAWN BY I: I, NIF EDWARD W JULIA R. if J OHNS ON S 660- 28` 25" E t, 100. 97' Z Z N/F cr Cn 1; o � 0 2 GERALD A. 61 EVA W 2 Qc DU MOUCHEL IG, 7S2 S,'I~ eQ 'F -- zt 1 Ill/F l i, FRANK ✓. - 6 ROSE l? TAVERNES/ 1 1 i 101.20 ---"�" S 650 35`- 2 5 1 1 . E zj QUARRY BROOKDRIVE 9 � � IC 'r1�it',�r1Gf-1 REAL f' o CON'tPAICIIE'� s — ESSEX, COr.N. 06.726 �� •�.max--�_��-.,R,rc,.s=.-.��,.�..<.�...:_...�..�._...:....-,tea a, P' L 0 T P L A N I hereby certify that this map is substaa9 ,° L J N 4 .-.1 'tially correct r ce to_ T 1_i D O I 11 L L g T;t:85Q5 Qi.9QMRY Lr?iZ00 LR-elV : SOU � I'1 {,VfNI.�r- Ofi'riiJ���S" r Kermit # 1041 TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . ?5.t",arch.,. 13;1{. . . . . . . The Sanitary Sewer . X . . . Septic System . at . . . . . . . . . . . . . . . . . . . . or lot #. . . . . . , 1. . . . . . . has been installed and completed in accordance with the.Town of South Windsor ordinances and regulations. Accepted and Approved AT. O""y l eNz By Mel°.ri.n Tcdw• rds, Jr Date o41oz1-7(c ­ai itaxI v InSX)ec tot' r: