HomeMy WebLinkAboutDrain Layers Permit 90 Northview Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
77"' ; DRAIN LAYER ' S PERMIT NO 4�
Zito /d ArA 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at-9-0 A101. 1PAtVr&'W :rl- ty&q- ¢9) on the
14 side, n r. w,�aiTalW/ea..k •l.ir' ,� " aa�4�fL Mi R.t
at premises owned b /#•w�sr.�. .s�► JL;! /e#r;; aOCIOAA4w*
y v - -
whose address is Q!3 A1"tr#trim M -bd y'1,C
and to if Lay House Drain Repair House Drain, Lay Main Other
,
for iLa� f8�1F,+lt.�ss
occupancy or use,
with 000 t Family Units, with 0. 47 acres.
Type of Sewage to be connected under this permit:_
ANIrTARY SEWAGE INDUSTRIAL WASTES, OR
♦:r
Connection will be made with tJdiA�/'1�gr"
Permit to be issued to/Z ° t" A ^7 4'17'm
l►L1. +
the holder of Drain Layer's License No. 'j�++ 2irt.ZrA Permit will expire on it A 9
The undersigned Drain Layer hereby agrees to all the 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 f Ate•1:11
Signed;' ' , . .
Connection Charge Paid * ba Licensed Drain Layer
sg�!f oftrd!C !t' (Sig) issued by _ :j- X
Tax Collector r
Permit Fee: Paid $
INSPECTION:
r
INITIAL `
(Sig)
FINAL
(Sig)
APPROVED ¢! •" - ,P ��� ' (Date)
(Sig)
INSPECTOR
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Assessments and Cliarges
for ��
SANITARY SL7WER SERVICE
Town of South Windsor
Occupai tt Ysill nsa t, ��:�---d a gi j t B Account Na
Addxes� 90 111��hvi� brava
Owner - -----
Addresv
Assesso is Location: �6-p 1 Block 63 Parcel
Land ,,�Ie-cords .- Volume �� page 1.Q1..
Zoning .. r��,. Use -- R.aid.Rr�.7
Area r .y� Acres
ti< At 4r-
- a
a �
r%
ti®► «- /,
S e c
(Not to Scale
Assessr-,Mt Com utationa
Assess,.-ale Footage 1t X Front Foot Assessment $�
k4 mbe�= �f Laterals I _ X Lateral Assessment $ _ -
-� $--ZOQ.A4-
Total Assessr-nt $ .U-
Assessment Due Date
!'eferred yes No
__jL_
Caveat Filed Yes No
'aid in Full Yes— No—
To be paid in installments Yes-- No
Annual Payment $ _1�6 �_ plus 5% on
� _ : Lien Filed unpaid balance
Y(=s—
No—
Connect -on CbCyTe dl�u ioy
Num er )K"Sa Un is E
(Resi.& iti.al,, "chool, or Church) .� . x Unit Connection charge $ _$
FM ez- ).f Acres
(ot er Aran Res ,, Schm . or Ch
X Area Connection ion charge $ =$
Connection Charge Paid. in Fula. � �.%�-L�- Date //-/2-45� '
Col
i6rar of revenue
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