HomeMy WebLinkAboutDrain Layers Permit 45 South Satellite R (3) TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 69
-2w �.tl 9-26
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at # c ter;;' % � i n � on the
y S' side, between
at premises owned by
whose address is A„ 4XJ ,�; ,
and to -Lay House Drain, Repair House Drain, Lay Main, Other ,
for A QQgupAucy or use
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAG INDUSTRIAL WASTES, OR
Connection will be made with _ C-` tr,+t4P
Permit to be issued to .4-4 C S+'r f 4'saw .® rs�+ y -*A Ste,- eL 4 yto 41C
the holder of Drain Layer's License No Permit will expire on -. 197
The undersigned Drain Layer hereby agrees to al the terms and conditions set forth on the per it and the re erse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed ;d
Connection Charge Paid Lic used Drain`Layer W
1 f
(Sig) issued b r
Tax Collector
Permit Fee: Paid $ �eye
INSPECTION: 44. �l ;
INITIAL 1 _ > � = r (Sig)
(F
INAL Sig)
APPROVED' _ (Date)
(Sig)
INSPECTOR
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ASSESSMENTS 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
s�� cu�y: xit Account No
Address
Owner°
Address
AsBessor 's Location: Lo Map Block Parcel 104 2
Land td ecoa°d s 7 Volume WX Page ..
g
. ; i.x�g a ... �,.�. Use: Y �1t
Area Acres
At q �t
e
Sketch
' (loot to Scale�„�
Assessment Computat i
Assessable Footage . X Front Foot Assessment $ �• $4A�3.3f�
Number_ �)f Lat-erals 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 Y No
9 Annual Payments of $ P lu 5%
can unpaid balance
Lien Filed Yes No -
Connection Charge C at ion
Number of (Snits -
ResicIptia.l,, School., or Church X Unit Connection Charge $ g� � $
J-j ,Sumber of Ames o 342
Other than Res. , Sch, , of Ch. , Area Connection Charge $ .OQ $ ®.00
Connection Charge Paid in Full., Date,
NsRes3vi nt & Clonnection Charge w tat* proved.,
Town Enfineer