HomeMy WebLinkAboutDrain Layers Permit 577 John Fitch Boule (2) TOWN OF SOUTH WI N DSOR
- DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
{� (40073
DRAIN LAYER'S PERMIT NO 82
G S144
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at •✓a .// "/ `,'/ / l+;t"} on the
c'.-d✓ ' +'7' side, between 1" +� ,��t 3 ,� /?s,�_
at premises owned
whose address is
and to XLay House Drain, Repair House Drain, Lay Main, Other
for C:!G r71 Je occupancy or use,
with Family Units, with ,�, l acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to 246,04won s;'Z;P C 4 el 7-A Ae
the holder of Drain Layer's License No.4,o f + „? 1?7 Permit will expire on OA' 197/
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permfE and the reverse side
thereof. Applicant has received Town Permit No. """ and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS �� �.�?� ',. - =v .. _
� a'rw�—fie 11b r•C
. r
-71
Signed �..--
Connection Charge Paid $_ Z e Licensed Drain Layer
(Sig) issued by ,��,� _
Tag Collector
Permit Fee: Paid $
INSPECTION: cNaft
INITIAL (Sig)
FINAL rr (Sig)
APPROVED /►���Q� y /�yl"t/ (Date)
j
O� (Sig)
'� INS 'CAR
s 77 ✓aNn! �TC�/3� Al 11 Dl TN C
S-77
ze--
�owA.¢p d �LAr�2
7.9` aB.
Liz,
(NaAk Su2r-Rc,) �. RIoTE B Rs j_+rtF r-oLLowS eLC$e
p ro s AraE'CouasF fkS SewE2,
Ass e usraaeuLs 'and Charges
SANITARY SEWER SERVICE i J�
Town of South Windsor
Occuyant Account No.
Address + IIt1�
Owner
Address 57'l 'FqY e
Asse sc:r U1&v=d Black Parcel
Land accords: Volume Pa 33
Zonillg Use
Ret&Ll SCE
Area: Acres
Sketch
w (Not to Scale
Assets ent C2rn1)ut,ti0n:
Asse4?4 a>?fie Eo®t:� X Fa"out Foot Assessment
_ Otte als1 X Lateral Assessment 9
a
Total Assessment _
Asp essmexnt Due. Date
Deferred ekes No
Caveat- Filed Yes Na X
Paid in Full Yes- No_-
To he p_,,i d in i nsta l lment s Yes Pdra_�.
9 Annua$ Paymentj c,� �� plus 5% on
t-*T*FEW b�.l Tan ce
Lien Filed `'es No
ConnF.ct-r-ov Charge vamp uta�.�.�on: �. ..m,,,.
,(Res--dle-,iti,a , Sch,001, or CbA-,r ''hN U Connection Charge
��" ��'""dam ;.��., Acres :n
(othe =Tian Res. , Scha , or Ch,) X Area Conn ctio 1 charge
Charge. PcRid in Ful l.2, 4 Date
.....a.g � .
Av� aollwo off: revenue