HomeMy WebLinkAboutDrain Layers Permit 85 South Satellite R _e
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER ' S PERMITO, 80
19 A,�
4
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 ,fitn
at premises owned by
whose address is
and to e Lay House Drain, Repair House Drain, Lay Main Other
for
occupancy or use,
with y° t.r2: ,; Fly Units,-with acres.
Type of Sewage to be connected under this permit:_
SANITARY SEWAGE, '` INDUSTRIAL WASTES, OR
Connection will be made with r
Permit to be issued to
the holder of Drain Layer's License No. _,- �tf Permit wil lexpireont,.
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the per ti'mit and thel�everse side��
thereof. Applicant has received Town Permit No. and/or C H D Permit No. `
for street excavation.
SPECIAL CONDITIONS : . }
Signed
Connection Charge Paid $` n. Licensed Drain Layer
(Sig) issued by �.,,
`—� 6 �W
Tax Collector—, <
Permit Fee. Paid
INSPECTION: r'
INITIAL ; t•- y� (Sig)
FINAL _ (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
1J;�r5Ga �s-f3
r h�✓L<p
F
t
ty
�' 7� $C Al t�
FOR
SANTITARY SEWER, SERVICE
T:.?`.m of Sauth W�l_'id,,q�nr, 1,540 S'21tll-I..van tweme 644e.251-1
Address
Add Sa --C""P--JQMM jL-AUMM9 AO�d
Block Parce
Fite ;.x ( Y} �w� Page___ y�
..r".�:: " -...-e o:,. • ..ru wn..rs._. ....._: Ue Fsart�mw'�s�ar.-ar.s.i_.s*atsw.wrr.
�w'art]tZVr6grsw:n.pxtva�`fi-
J Acres
s
` 4
r
_ s ATTACHED
4
i sketC1)
(Not to Sca'le.)
it Foot As sment
Assemsmenr
3L:'FAc-�:�ESrF.`ient Due DaL.. �. .. ..� .H». .. ..s
Deferred Ye s
Caveat FiledNo
Paid in Full.
To be pa Id in installnx-nts ,—,��—
Ar a . Paymnt.s of S,� : 4 . `la.�e<.e..
on nraI.d ba:lanve
Co$i-ned.`�'.t ioff4 1.�136'�.�, 3'` `..,.�kia.3�e.�.,*`�P Z Q'�: «,,.�->...�.........4..,�.,._,.�
:.`..�.o:f {k -i.-&tii
Seho 1 a r�.,,e..�'C.,.j,,.-mr_. y h s X Unit t Connectim
k 1ber o f A dl e�
�6.680 X Area Canmet en C "0 1� • 49680.00