HomeMy WebLinkAboutDrain Layers Permit 105 Nutmeg Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 78
Pr Al , 19 —
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between_ � �•+'` �,`, -yet"
at premises owned by C_:L *t✓ ' 7a'"r 4—Y ..ems te r • 4
whose address is 1.0 ,S7_ 00IL-&.-'' •mr "t
and to Ar Lay House Drain, Repair House Drain, Lay Main, Other
for _;r occupancy or use,
with Family Units, with 3 e, acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with = 4 ' eP,
Permit to be issued to A. ;ems a
the holder of Drain Layer's License No. Permit will expire on 19
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
Signed
Connection Charge Paid $ " (",'- Licensed Drain Layer `
d-.- a (Sig) issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: •-
?•-w �_ fir`:
INITIAL "• 4 Bpt
(Sig)
FINAL ,.:"f` �°�,. .•� (Sig)
APPROVED {.:_r (Date)
. ..._L4 ,,.K (Sig)
INSPE TOR
N
3
a
4
n
Any
of
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ASSESSMENTS AND CHARGES
FOR
SANITARY SEWER SERVICE
Town of South Windsor, 1540 Sulivan Avenue 644-2511
Department of Pollution Control., Vibert Road, South Windsor, 289-0135
Occupant T,.rN Account No,
Address
Owner dliil
Address W Nutmx R"djjSOutt
Assessor's Location`: Lot # Map Block _ �b Parcel Lo is
Land Records ., Voles i28 Page
Zoning _ I „m Use ., I
Area
•
PZA Sri
+O41i1+1IM WIiYYs i.M11K111�IIh -
Sketch
(Not to Scal R'i,„.�. ..a..
Assessment Computation.
Assessable Footage__3.tp X Front Feat As a ss =pit $ 3610,00
Mamber of Laterals X Lateral Asses._�ment $ -----.. _$
Total As.=:essmr ent
Assessment ., to Date
-je ferred Yes No
Cave:i� F i l.ed Yes Now
Paid in Full Yes
To be paid in ins =.l lworts Yes Now
9 Annua.l. Pag.rients of $ 0I.11'- plus
on unpaid balance
L . .1-L Filed Yes No
Connection Charjze Computati.ono
Number of Units
�Residential, School, or Church. X Uni',:: Couraection Charge $ $�
[INumber of Acres.
Other than Res, m Sch,, 0 or Ch� , 9•62 X Are L Conraction Charge $ •00.$ 3620•00
Connection Charge Paid in Full: at
Assessment & Connection Charge omputaticon pproved r _'
Town Engineer