HomeMy WebLinkAboutDrain Layers Permit 306 Strong Road L71 TOWN OF -SOUTH WINDSOR a
DEPARTMENT OF POLLUTION CONTROL
t �
I... j South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 66
/rk aTt,,, , 19 '70
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 3O6 ETA _ + es
' on the
t"IrM side, between &rrQ N
N��t t 1♦
at premises owned by_ ?�T�R /t�►w
whose address is_Ala&
and to X _Lay House Drain, Repair House Drain, Lay Main, Other
for fitgS It f,yrjg,,
occupancy or use,
with Family Units, with 1
�AA�rsY 'i� acres.
Type of Sewage to be connected under this permit:_
ANITARY SE WAG INDUSTRIAL WASTES, OR
Connection will be made with s K 400
Permit to be issued to 140.4ill
the holder of Drain Layer's License No. 40Q- A Permit will expire on / • #out' 19 70.
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit an heverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
e
Signe -
Connection Charge Paid $ Licensed Drain Layer
M (Sig) issued by !'it �10W cfvS Zz
Tax Collector V
Permit Fee: Paid $
f�INSPECTION: C PI-CCK AiI4^co
INITIAL 44) (']�•-.�. (Sig)
FINAL 4 01/ �,��.• (Sig)
APPROVED — 7Q (Date)
7'
(Sig)
INSPECTOR
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SANITARY
Town of South Windsor, IS p1� llivan AvnueSERVICE
-2511
Department of Pollution Control, Vibert Roane South�Windso r, 289 0135
Occupant
Address Account No.
Owner
Address
Assessors Location: Lot #
Land Recordse Volume 4 P. Block 21 Parcel 54
Zoning a I Page sil .Tj
Use: R�raial
Area Acres
s
Sketch
Not to Scale
assessment Computation:
,ssessable Footage 60 X Front Foot Assessment $ 570 00
lumber of Laterals -T g.
X Lateral Assessment , :
$
Total Assessment --_~
Assessment Due Date ' �'$ 77Q000
Deferred Yes NO
Caveat Filed Yes No
Paid in Full —,To be paid in installments Yes No"""--
9 Annual Pa Yes No
Payment's of $ V5f35""
71 G She
on unpaid balance
nnecti�J"" ber
Computation° Lien Filed Yes No
of Units t
sidential, School, or Church r
-.�,�Tumber of Acres:' X Unit Connection Charge
her than Res. Sch- , or ChQ, ._L_ Are Connection Char a -lam
inection Charge paid in Full: g $
Q Date - e-
;essment & Connection Charge Co m at ions Approved
Town Engineer
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