HomeMy WebLinkAboutDrain Layers Permit 17 Northview Drive r
TOWN OF SOUTH WINDSOR
2>4 pry/ DEPARTMENT OF POLLUTION CONTROL
& a-, ; South Windsor, Connecticut
DRAIN LAYER' S PERMIT V1286o0�
f47119
Pursuant to written application, permission is hereby ranted t P y g o the Licensed Drain Layer named herein to perform
the work indicated below at jr7 tj0:V,;y-.„aw
Dlri yv i; (, 3 on the
+.nT� side, between
at premises owned by
whose address is
and toXIL—Lay House Drain, Repair House Drain, Lay Main, Other
for re,6 1yalti al
occupancy or use,
with mane (1) Family Units, with t acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI) INDUSTRIAL WASTES, OR
Connection will be made with V(<
Permit to be issued to Vitosk
the holder of Drain Layer's License No. Permit Permit will expire on �19
The undersigned Drain Layer hereby agrees to a the terms and conditions set forth on the perm n t e�'h 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 n icense Drain Layer
r`AA- $ 8E4tel (Sig) issued byLkar- �%�'
Tax Collector
Installations made, but not inspected Permit Fee: Paid $,
by Town Of South Windsor Sewer Department. 5. ,
INSPECTION: CI1101Ck� Number: rim 03..0622
Me 'n gdwards, Jr ugue (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
Assessm.elits ar�d
for -
SANITARY SETWER SERVICE
Twn of South Windsor, 1540 Sullivan Avenue 644-2511
Department Of Pollution Control,. Vibert Road South Windsor, 28'9_0.-; 85
Account No, .9 613 7
OVOW 17 NOrth VIM Dire
ct , Lot # MaF Bloc_k,63 T,ar c so
vcords plume Pagc !k97_
-20
Use.
Area- Acres-
Sketch
Not to Scale
,,"SOVINMent Computation.o
Ass�-,i aable Footage )M X Front Foot Assessment $ M
-ber of Laterals X Lateral Assessment
Total Assessment
Assessment Due Dare
DeferredIles 1-o)
Caveat Filed Yes
Paid in Full, Yes
To be paid in installments yes�
9 Annual Payments of $ fi.fifi�plus 5%.
on unpaid balance
Lien Filed Yes
Coilne',tion Cha! ra C ,Pmtat ion 0
__ UNumber
of Units ,,
-4ide Ott ial, School, or Church)__j x Unit Connection Charge
0 Number of Acres .-
her than Pes,, , Sch,, ,, or Ch. .,)_ ea Connection Charge $
Connection Charge Paid in Full-. Date
Assessment & Connection Charge Computations Approved
Town Englneer