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HomeMy WebLinkAboutdrain layer permit 569 Sullivan Avenue *d ?; ` WN OF SOUTH WI N DSOR ' DEPARTMENT OF POLLUTION CONTROL - South Windsor, Connecticut List NO$' S-6w" DRAIN LAYER'S PERMIT N'O_ 122 33 dtime , 19 78 Pursuant to written,application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at Stag >!l LUIr rs AVG=* ((11 ) on the 8euft side, between Aebboir Read Vl t limW at premises owned h9" ♦ s whose address is 622 Mato Streot, 11pila ,ell, Nams. and to, _Lay House Drain, Repair House Drain, Lay Main,, Other , for occupancy or use, with fte W Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ) INDUSTRIAL WASTES, OR Connection will be made with 60 Permit to be issued to Ce"tMeft B Vito NIMM + the holder of Drain Layer's License No. """4v9w4 Permit will expire oZ3 AUMXWt 19 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 Latftyl to be "aw road.&* tu-- I�i" Mtn 1~ i® r :`I 1 Signed hu Connection Charge Paid X 0&23-?2 Li ensed Drai ayer 3" Att!ab" (Sig) issued by ♦ at'a Tax Collector Permit Fee: Paid $ e NVA*0 s eftamd INSPECTION: ' INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) INSP CTOR `i .. i Su4�LIV jIq AVEn/LCE c-L _P 0 23 50(c 4 Punta ELAN 12 P��� i6L�Nn N /3 uicnr,Yy NOTES: Scale = None. SOUTH WINDSOR POLLUTION CONTROL LOCATION Sullivan Avenue OWNER Gas Land Inc. TYPE OF WORK Sewer Connection DATE 06-27-72 PERMIT 122 PIPE6" Truss INSTALLER Covensk Wg-205 24) INSPECTOR HWL DRAWN BY ME Assessments and Charges for SANITARY SEWER SERVICE Town of South Windsor 1540 Sullivan Avenue 644-2511 Lon a/ Occu -)ant- �,gs - -iY� Account No A&r ss S v LL/v4' /U ,¢vL Owne - - AddI ,ss Asse sor s Location: Lot # Map Bloch Parcel Land Records ! Volume Page Zoni ,g n Use Area Acres �n �sv vq Sketch Not to Scale Asse: sm- ent Computation Asse, sable Footage X Front Foot Assessment $ -$ Numbkc 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 Yeses No� 9 Annual Payments of $ plus 5!0 on unpaid balance Lien Filed Yes No Coxme<ct ion Charge Com2gtat ion C. _ Number of Units (Recs.i iential,, School, of Church) X Unit Connection Charge $ _$ k Number of Acre s o le (Othc than Res. , Sch. , or Ch,, ,)/#y-2 X Area Connection Charge $ 1, d oo,o u =$/yaS/re� Cons.; ,tion Charge Paid in _Full: Date 3 /972_ 'Collector Of Reve '" Asses ;ment & Connection Charge Computations Approved., Town Engineer Depar--ment of Pollution Control., Vibert Road, South Windsor, 289--0185