HomeMy WebLinkAboutDrain Layers Permit 55 Northview Drive d�cri n
y TOWN OF SO1TH& WINDSOR
DEPARTMENT OF POLLUTION CONTROL
1
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 45
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ltk;i royV iAr" Na-4 ( L 7) on the
At04?of side, between.!;*"Af4 ♦V /Maa►d a$ ,"` III
at premises owned by +� t�► e9I1� C't'?II
whose address is__rs- 4.4,00yFiA►-0 1 1we
and to Jf Lay House Drain, Repair House Drain, Lay Main, Other
for AT S 1 hAFJO )AA*
occupancy or use,
with r&#r j#) Family Units, with G � acres.
Type of Sewage to be connected under this permit:_
ANITARY SEWAG� INDUSTRIAL WASTES, OR
a �
Connection will be made with 4 4Att IdR. XOle
Permit to be issued to ' .. isst �x
the holder of Drain Layer's License No A ff 1'j'?Xv Permit will expire on ► dy � 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the ev�erse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed.:•
Connection Charge Paid • C** Licensed Drain Layer
. te ' 'Tf`Af4f (Sig) issued by
Tax Collector
Permit Fee: Paid $.j,;"`,00
INSPECTION: C 00 eit 0"0. .7
INITIAL - - (Sig)
FINAL (Sig)
APPROVED r
�IECTOR
�^'P •t ,' � (Date)
(Sig)
A-0yD A, n/6rZf04,9
to wnn�,e D 6; S� rF 2
l� nAIL,49s-,e
� �fD QY
l'DO.-=P 31
o
16,7
47�
X
r`^y
Assessatewcs and Civarges
for
Town of Soutlh Windsor
Occuoa,�it Nex
1111C
53 Nort Account NO
(')wner Saqe
Addres4 SAM
ssesscr s Location :dap 51 Block Parcel
Land ItIt cords ,-, Volume I",Ige 232,1--6
Zoni),Ig
Use Want JA
Area Acres
Sketch
AsseissT, ijit Com-futa Lion'
,,
Assessi .zee Foo age 152 X Front Foot Assessment
Number z)f '.,'�ate- ads 1 X Latera? Assessment $MAW-- = $
Total Assessmnt = $1492.00
Assessment. Due Date
Deferred Yes
110 X
Caveat Filed Yes- 740
Paid in D)-,Il Yes'- NO
To be paid in installments Yes- No
I,ayme-[jt,< e/ $_163-*-W plus 5% on
unpaid bMn-ce
Conne.-t �'pr Cha, �ae (;orwt)UtatiOn,, Lien Filed Yes'- No-
chool., or Church)
)Number X Unit Connection charge $-#RO-.00
t c-h. , or Ch,) X Area Connection charge $
C; anection Charge Paid in Full C
r, Date
Cot ector of Revenue---
d