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HomeMy WebLinkAboutDrain Layers Permit 39 Simcka Drive • TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut S- Goo7o DRAIN LAYER' S PERMIT ` N'o �s jB Slli ftjrMestt 197 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at (A ar" #„ ) S�3 W -Ad„ a on the t,1LiT side, brretweep �t!/ra�t .LiRtV� .lT�s� I+�W►�1/<d�' at premises owned bly ki a.I��as. � 3"N"Ma,t whose address i GlAt Naomi 'TIC .r. and to � -Lay House Drain, Repair House Drain, Lay Main, Other for AA& occupancy or use, with ei 4tel Family Units, with acres. Type of Sewage to be gonnected under this permit:_ A ITARY SEW G INDUSTRIAL WASTES, OR Connection will be made with_ 4i , .wasf�t 04/0 Permit to be issued to IM( Vb"f! i„i6,ttSt'/A tt W the holder of Drain.Layer's License No . Permit will expire on ArA 19 The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sidle thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS f , Signed`- Connection Charge Paid M License Dra n ayer � E A & (Sig) issu Tax Collector Permit Fee: Paid $ & INSPECTION: !!tom NK r#A.in, . . INITIAL (Sig) FINAL - (Sig) APPROVED (Date) g INSPECT r (Sig) /HEaDo2E 17uis�r2,t[y �nT / k1ED17©�E�L.U.3 17LF� 11 n � Y'I-r3sT 1 O_ cPE Qy U, ►-. +M r 1 3� MKA � L�1E ,svess z:rtt s and Charges for SANITARY SEWER SERVICE Town of South Windsor, 1540 Sullivan Avenue 644-2511 Department of Pollution Control Vibert Road, South Windsor, 289-0185 Occupant Account No Address Owner Address RM* —+�-- Assessor's Locations Lot Land Pecords ; Volume p �-- Flock _ Parceld� Page _ 42_1 Zc���iing d e�.2A U —.�.�..� --�---- Use: Area Acres - Sketch Not to Scale 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 No Paid in Full Yes No To be paid in :installments Yes No 9 Annual Payments of $ plus 5/0 on unpaid balance Lien Filed Yes m.— No .. '�,nnect ion Chaff Computation: NVmber of Units: ;Residentia:'--, School, . or Church) X Unit Connection Charge $ t�QQ $ I°umber of Acres 'Other than Res. , Sch a L or Ch., ,) X Area Connection Charge ;t3nnect imn !.barge Paid in FullAtz-- Date assessment Connection Charge 44tation Approved Town Engineer