HomeMy WebLinkAboutDrain Layers Permit 500 Pleasant Valley • TOWN OF SOUTH WI N DSOR
` DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT List: s-6o1o6NO 137
19 Antdnsber —, 19 2a
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at = P108a tt YAUff Do" on the
I*Xft side, between XUtm Dri`rt asd Wwdo.de Drives
at premises owned by Aadlt+� Cbana�» o,
whose address is 37 Ron& Dri"* South WindeDr, Cam. 06024
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for roadd81'IU4 occupancy or use,
with 000 (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, XX INDUSTRIAL WASTES, OR
Connection will be made with AILW 11 (6") tC An
Permit to be issued to Vito P& covendcr
the holder of Drain Layer's License No. V %i 4 Permit will expire on 19 XWOM er 1972
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' VitO V• 00'r aky
Connection Charge Paid 91X 09-21-72 Licensed Drain Layer
See attached (Sig) issued by _ $tt yor Wo Uwwk
Tax Collector
Permit Fee: Paid $_15o00 _
Norbert
INSPECTION: C'eok '�ann u
INITIAL (Sig)
FINAL (Sig)
APPROVED dnber, 197A (Date)
1,
e vack (Sig)
INSPECTOR
i
ASSESSMENTS AND CHARGES
�... FOR
SANITARY SEWER SERVICE - - - ---
Town of South Windsor, 1640 Sullivan Avenue 644-2511
Department of Pollution Control, Vibert Road, South Windsor 289-0185
Occupant Account No.
Address .
Owner
Address
Assessor's Location: Lot#. Map Z Block Parcel
Land Records Volume—' ' Page F, y
Zoning: Use: i
Area. Acres
k.
Sketch
(Not to Scale)
9
Assessment Computation:
Assessable Footage x Front Foot Assessment $ = $
Number of Laterals x Lateral Assessment $ = $
Total Assessment = $
Assessment Due Date
Deferred Yes No
Caveat Filed Yes 2, No
Paid in Full Yes No
To be paid in installments Yes No
9 Annual Payments of $ plus 5% on unpaid balance
Lien Filed Yes No
Connection Charge Computation:
Number of Units:
(Residential, School, or Church) x Unit Connection Charge $ _ $
Number of Acres:
(Other than Res., Sch., or Ch.) x*Area Connection Charge $ - $
Connection Charge Paid in Full: Date "
Collector of Revenue
Assessment & Connection Charge Computations Approved
Town Engineer
0i. '4.'l.;':,ti.,
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 1" approx. LOCATION 500 Pleasant Valley Road
OWNER Andre Charbonneau & Sons
TYPE OF WORK Sewer Connection
DATE 0 -20- 2 PERMIT 137 PIPE6" Plas.
INSTALLER Covensk (W -20 24)
INSPECTOR MIL DRAWN BY ME