HomeMy WebLinkAboutDrain Layers Permit 223 Northview Drive i
TOWN- OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
1
DRAIN` LAYER' S PERMIT NO 64
e - -
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at `�} � � ;✓ 4 �, L 3 4� on the
C �* side, between
T,e j
at remises owned b %%
P Y f i,t�� —�^ cam- �=-= /-ca .. �l
whose address is
and to ay ousse�, Repair House Drain, Lay Main, "'� Other
for occupancy or use,
With Family Units, with acres.
Type of Sewage to be connected under this permit: iIA , r 1"1`e
SANITARY SEWAGE, + `_.. 7 INDUSTRIAL WASTES, OR
Connection will be made with—
Permit to be issued to
the holder of Drain Layer's License No. ��� �v Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pe and-
rmit an the reve s+see side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed!' M, <{
Connection Charge Paid $ �► Sicensed airi Layer
S '-12W mg b (Sig) issued by Aft vim 4
Tax Collector k
Permit Fee: Paid $.
INSPECTION: /41A$N
INITIAL- (Sig)
FINAL (Sig)
APPROVED /Vi4 ! 7D (Date)
(Sig)
IN E TOR
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Assessments and Gharges A •r
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S II I18AR�a SEWER SEITIJILi.1.
Town of South Windsor, 1540 Sullivan Avenue 644-2511
Department of Pollution Control, Vibert Road, South Windsor, 289-0185
01ct;.i cant Account No,
Address
Ow e_r Ch I And R&y=M ,.F_ 6 Lnf a F
so>°"s Location: Lot # Ma p S1 Block 63 Parcel
4'ecords Volume page --
"'Orliri � AM _ � Use: HAMIdA "1
Area Acres
0
Sketch
(Not to Scale)
Assessment Computation:
Assessable Footage 130 X Front Foot Assessment $ 8,50 1105.00
Number of Laterals 1 X Lateral Assessment $�1 . .$ "r
Total Assessment =$ 1305.00
Assessment Due Date
Deferred
Yeses No-
Caveat Filed Yeses No
Paid in Full Yes No--
To be paid in installments Yes No
es .a.�
9 Annual Payments of $ �� plu '
on unpaid balance
es
Connection Charge Computation. Lien Filed Yes No
;� Number of Units .-
sidential, School, or Church)__.l x Unit Connection Charge $
® Number of Acres .-
her than Res. , Sch. , or Ch. ,) X Area Con ection Charge $
Connection Charge Paid in Full: to o
Assessment & Connection Charge Computations Approved
Town Engineer
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