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Well Correspondence 00 Foster Street Ext (3)
J� WATER SERVICE LOCATION FORM 1' �0 0, P pr")L '-- it _ �tL� $ ! t /477ctc 13u� 1� W, Cr Mo., I' 1hr r { of 5 Jae ,;xcvr� wk C ✓ /�h Ptv S A h� House No. f o o it J-e e n �s1 5 s o•t w .(l4 S r�„r�, �, i 1�Y41yo, 1i +ltfq t�JH�(/� T& T,�7 LI Pole- 9 # i W W _ Proposed Water Main Street: Name: `mac.x ., (?!uS X "12-d. n� v Address: 0 1 � Cl OLo7q Phone number where you can be reached: 2U) _ 22 t 7 Date: 2 Signature: 64A36W MgAACE-TWIN PAGE @i file L4FVe /CAI A /)`OfC drA7'J ~�� 7AYtn. A w1N.r J/YI,I L&.,, ~ Oki 14Y OI ~ AICY4I4••t'r BY ley ,6,4A 16A UL c. CP t r � s 1 0 f� V S 4tr' /tn tw e , k ACV, ae b � t '76- 0 ty► $32.� + c �► WATER SERVICE LOCATION FORM eu.`,S4-A-5 well House No. �a 7 Park• �l ...� .ffly he y hays t�a'�. �r W i W 'V% Proposed Water Main Street: � ���aov Name: 5haujo -i ke eicca bYpp n Address: Z, � 7 14 i!l-r 6200.c) Phone number where you can be reached: WAY Date: t3 !9 D/ Signature: .,� WATER SERVICE LOCATION FORM GaiAR�C:E -' House No. 1005 h h o ¢I wfl�.rcwaY N AND UMERCTROU" Uj w�YR� I sr W W Proposed Water Main Street: _F'O S T F_R �T'. �XT'. Name: .? t Gt &_gD KLr_— JjART Address: 16 O !) FQ S'T'p_L, R Sr,, Phone number where you can be reached: G 4 4— 9 ZO 0 Date: 0 Signature: , NgUXRMARWR HRAMOSTER ST E)CT SOUTH WENDSOK CT SERVICE REQUEST FORMS Hpne rasa Phone ern.Ead. States Die Rasa Donald Nlaurus 1 i Slnneileid Trail 644-9227 Y W13MI RlcSwd&Grew 1 Ilitiller Rd 84"102 Abandon 9N3101 Paull Brown 1059 F Aer St End 7585 t*W"180 N Kee 9i93101 Edward&PatMa Rodonis 496 W er Rd 844-078t Y Abandon 8�t3J1f1 is Case Barber HO Rd 648-9102 Y ndon 9 IMI Robert&Jud Kuebnal 10 Barber KM Rd 844.1364 Abandon W12001 M'rctrael 8 Brenda Pines 42 Barber HN Rd 6448861 Abandon 9112101 DaNei sm" 980 Fester SI E)d 644-0200 N don 9ft2101 H &CadeneB St 1051 fester st 6d 644�4259 W12101 Jos Dzen 50 Barber HID Rd 648-0564 Y Abandon 9tt2191 Mks Lanate 460 UderRd $444372 Y Ire SM2+01 R#"!d&Ma Klebart 1009 Faster St E6d 64�44OW N 2R 2fO1 Fied&Ga8 Sohlae ti8lfer Rd 644-92T4 Y Abandon 911M 9dan&Ja uefinne Rivard 1042 Faster St End 644-8378 N arodarr 2117001 Ylf &Pabida madw 481 Miller Rd $44-7230 Y Abandon 9117J81 Jeff&dipole Peters 517 miller Rd 644-®8� Y Abarrriorr 9n 7101 Walt�erTarardowksi 76 Barber Hill Rd 644-0453 Y Abandon 9V17J01 �� Sal b� vn WATER SERVICE LOCATION FORM House No. well 0 vtl- w�`µ� I r :kk;4`}ikktiy`"v:kjtikkkkkkkkkk<kk`k�:i:'vk}kk?'Qk>.kkk}k}key,;:•vv:.}}}•.,;.}}}•.}v:.::�.,y.}•nw.: vkkkkkkkkkitikkk"kkk kkkk 4 k•`.•`.'tk`Y'tcYkr'<tikk•`.k;:jk;;}:kt ::kkk<'tkkkk'tkk•''• y{k't},?:•.,}.`:•.};::}•.; kkkik`"`? ,v t m}{:;.:::{k{k>kktikkkkkkkk:k}•'„k•:??. .}v.}vn+.:,xv:kkkkk::ikikk::kk`: a2kkk•:•;:•:v:. 'ti{{}};•:x• ♦::..}.,::... `.:::\itkk•.:.:.}.,:.... ,}:,},:,,,•.v:vv{kikk•:i^.ti:kk`kkkkkkkk'. ik`}kkkkikkk{k•. ::.h•.w::n+{°•M1•C ..}. }}.vr.}kkv.::,,v:r.:;.},}::}}}... :..vv,..:.xv,.}.�.:., •.vkv.+vavv ..}v,+:v+,•v\+v:w.tkktktk•q�}titititi;k:•:tikkSkk,Lti�:kkkvX'k`�.}+.n}:vv:,:.:v.vwvw, q.....:4:h:,{k•::kkkkk:Rkk:;kkkkkk}:•.}}}:•.}... ,.:k,.+,,:...,,,•.:•:: •.::k:..::::.,•.\,:k:kktkkktt{{:'k'•kk`kk:}::22... :::k•.:,.:..,•.::�,......:: ..,:}..}::>::.}::,,:k•:.:::•?xtttkkkkkk:{tkkk:.a........ :}.}:}•:::}:}+•}:;kk'ik{{kkt2'kkk•. ..} }`:}`:'tkkkk,,,,,::•..•..: ':......:';,:2z<{'v{•}:t.,;:+ .}}k::.•.:.::....+., : .,:k•.v.::,v.::v.}}}v.},}}}}v}}}}v{.}::v.,;}::.}.{.kk,;{.},vt.kkkkkkkkb:kk::::vv..+.tih:Cki{:kkkk\'4^.:k,`,kktk•:d. .: ,..,k::..,,,•.::.:. .,•.,2,,:::•`.kkk`{tt{`•tt Y,t•.;kkbt{t{{,:•.: , \}tt•}xt".k:kkkkk::kkkk::?kkkkkkk: i{:�.:.ht;•{{};.,:,::•.},:,:,•.}:t;:{:'k".},•.:,:•.,,•.::,`•}:titrk•:{{.,<{ttik`• .,,}+.:,•v.:•.:,k�•.....,•.,• }.. vv�kv}„,}x:;o.,,4}},..:}hk. ,. ,.:.+.,.,:,.,+,:v.�r::,`�:,.}::+.,k::vx::.:.k„•.::•.,•:}::::.::•.�::•.<�:k`}{< <kk{.::::} +,h::,•:x:::•:.,,...:,,+}•.;;.>,}x.. ...•:..:+,}:t+.,:...k„.\,.kk:{:kk:?kkkk}kkk}}}y;.}}vvyy.};.:}'k;:v}:}}x. •v:v„ r,k:.:..},,..x±`.kkkk`wk�:?.kk}kkkch::.,vr.... ..}.:•+}:n..r.;,x•. ::t ,.:::..:..t::.. . z,+.kz,•,:: kkk�`}.: `kzt"• :...},}::h,•..:.{{zktk{{<t>:+�rr,.:.:..}.:. .::k+„ ::,�k{k .:,{::+,.:.,,:,v.`„`2 n,,:..:.,, :}}hks,`.:•,. .}:' :}:>:kkxk`kkkkk`k'k:kkt{,.+.:,v+k::.. �) ;;{vrkkkkkk kk.•'.tv�v:.. v.;{.,vv.,vv.::;., .:;h;v,;:ikkk}k`ki4`•. ..v•Y:?:v:. v ~•:t{S•x;ti.•{�:'•"` ' }}}kk;?;k+,:vw.•..:v:vvxtv.:x,x::vn, ..h:vv.•.vvv kkkk•}: •:ttt:t<::.:....::::.:: {•vv.{i:v :v:hk•'k�:kkkkkk : } wy,:kk4iki•:•'ikkti0:{ikttkkj}:kkkkikt>kv.....:?.vv}> {,,::::+,{;kk`•}tkkkkk"kk:,kkt; kkki; .:},• ,}}y.<.}titSS•k{kkk�:kkk»kkktikkki:.ti:. 2k::kkkk}:{.ik..,`.•:y;},•.}}::;ky,`.}...,k,}:::,:,k'c'tk`kk.:ikk:',±tk,,,:•+,.{`kk.}...}; }�..:v.::,{•:t>:vi+:;•.:•.:v.:i{{kkt::}..•.}vvh v:•v::,v:x......`,n+:w:w:.:,f..:. k....M1:,:,..... .;px..}y.... kvkkkkkkkkk:•.},,;.}}x•.v.::'' ..�:,.. ,:.ktk{S ckkk':}k}•:• ...}}}}}}+}5,,:••:.kt•:2tx;;k•}:t:,::•:::.:,:: .�.,k::, tkk:. Proposed Water Main Street: Name: 7'w av do c,-.r Address: 76 134v-be.,— lei/c Phone number where6you can be reached: 6YY75Y-lY?glt- Date: A Signature: + MILLER RD,BARBER BILL RD AND FOSTER.ST. EXT. WATER SERVICE REQUEST Please co�ntilete aced return lnthe attached��e nald envelope by 'enternber 17, a001_ Please indicate your preference below: request to have a water service installed•and-my private,w"andoned-m-no eost—. to myself. I request to have a water service installed at no cost to myself. I will retain my private well at my own cost. I request no water service installation at my property, Any cost for water service and well abandonment in the f ure will be my responsibility. Name: f . , CV— Address: �` .. t-�✓iS ode Telephone: Signed: LIST OF HOMES CONNECTED TO CWC: Foster Street Extension: 895 Rocco &Jennifer A. Destefani 887 Mark A. Ziburis & Deborah J. Reynolds 866 Walter & Diane Pierog 969 Neil D. & Barbara J. Coburn 985 John D. Jr. &Jennifer M. Dzen 995 David M. &Karen Strauch 1017 Robert J. & Linda Lee Brown 1025 Estelle P. Kozlowsky . 1028 Thomas J. & Gertrude M. Finn 1035 Mark A. & Denise M. Palmer LIST OF OUT OF AREA HOMES 895 887 880 Kenneth P. Hebert & Susan M. Leach 890 Ronald H. Pitz &Janice Netz WATER SERVICE LOCATION FORM ssf iL EA-Z House No. 1® n�©2r ff (xi FaoAjT- 4e- nc�ttart 1 X� 15 �►31 Sod lT�' W W Lt ; J J Proposed water Main I Street: 1-®STf-R., 5T e)(Y fir' 609-092 5T MKT lfojs;) Name: dtv L, C, ?fLow,\j Address: t D q h-s= n f >`A r Phone number where you can be reached: Date: (c) — 2-0 1 Signature: C 6: eul-7z WATER SERVICE LOCATION FORM 5� P,eAz House No. I , Fao/j r 4�1- ivi" , Z tl I W W N� It Proposed Water Main i Street: COST 12, 5 MKT I-roosg oi-T CoQOE-(L o F FosTS Q, 57 ii K j ,gU> Name: Rtu t, C t 3 f?-o wJ j ►"'til�c-�2 t�1�� Address: Phone number where you can be reached: Date: 3 _� -- Z©a 1 Signature: C WATER SERVICE LOCATION FORM House No. �7 7 :.::::: .................. ::: :: : Proposed Water Main Street: Name: P[�.-� t ' 1 G Cot f T -6Y Address: ] r® l--+C(— Phone number whpere you can be reached: 00 Date: U VOf Signature: WATER SERVICE LOCATION FORM House No. N UItCL Q <x< :i;;.:;itvv.;;•:hvv.::xv.:w:::? v.:vxx•.vvvvv. v..vn...v.......v....:........vvv..v:..v.::::�.: ....r. ........................... 4 {tv. AL >.i�iy' <tCijist}}Ytr{ii:;v.};:isti•,v.?'iT::?,tiiii::::jAiii:i:L?2v Proposed Water Main Street: ❑ I/we do not wish to be connected to public water Name: R19YmDly,O Address: Phone number where you can be reached: L60 yGG 17©0 Date: 7-Z 7—O Signature: AIZIK - . r ' WATER SERVICE LOCATION FORM House No. D✓� ti J �O ::.::xvv:•:' vv:v::.v:v:w::.vv::.vw •v}:.v:xvv' v.vxa:x•..v...:.v ..... ..... .}:n; .:v}v;v.}.}}:w:.:r.:•.ritiitiv::'iiti�?�i::::::`t::iiti;.tiiti .:: ':}.j;:i<�it�::1::?ti'`•{:.�i ..v{:.v.v:ry:>."LY�::isit�i2•':i>.iiiiitiiitiii>\•vitii•:.::::+�« xv vxv.:vvw:.�.:�.v:.:w::.v:w.v"+' nv.v.....:.rrv.:•.vxr•.:v.::vw.:w. , :'t222?• :{k;t`{2�:::::.:::;>•{� :tis4it�v:iiii::i::iii•Gi?,?:,::}.} : •.:n: wx:r:{•vvvv >�v..:..\vv..:..v..: •:{{;{:.••{. r .....wxv?.v,:•n:•n:•::^::•.:�:.....v.}::::.vvvw:::n�'v: .......r..::•. : ::•:.:::rr•. :xr:::::::: •:::::::•.o. "•`•:•::::::•.:•.::..:.:v.},}::::::•:v rrrr•..:::.}:•.rr::,:.'•::::',c:::.y:::•`. 'tt :vMHNiFii! :•:::. x.. ;vi::ji�:•v.i iL:•: l�SRk' it�i:;ii`ACi`i::ti�C�'��>.4itir.•,isi"::�:':{:iiiit?<:ii::::i:::is?t�::i;';:y Proposed Water Main Street: CGS/ �C�S�i9/t. ��l ❑ I/we do not wish to be connected to public water Name: �` � � �dC A Address: M 57— Phone number where you can be reached: 6 Vo?-S 7 Dat • J 7— / Signatur WATER SERVICE P-OCATION FORM ow. House No. -1 ®M ti W -- W Propused Water Main street: Name: , cac_ J v �•0. Address: 249 SA--, s Phone number where you can be reached: �k - tPI-t Date: Signature: , PL WATER SERVICE LOCATION FORM NFIox House No. 90 -� rI N 15 h &D- R4i.&-A , c w 6r101 9 V 50 (D ::}:,•:.,:,,,vv„v::vtvvxkt,:..:vvvwv.:v.::•.�.:.,:„•„... x.k.:: t k##F::}`#k}}.}::k}::}F}}}kkk•`.kkk}}}}}k:::::FF:kk'•kv v :k } v;.ty>,:v'?k}ice{}�?•`.•::.: , .:R,,:•v,.tvvv::vvv:\:,,::::\ ,k:;}.;:k}S2####}k##k#;:k,`.`kkkk#kkkkk#kkkk`k#kkv......,xvvvvk•.v...vx•:t:.:}}i�Rv.::.}•..v } :}}k}};}.. } }.. tvv#?kL:�Fkv,,,}}}•.}::•.v.:•.vv,v.:vvv\,}••t ...{:.n..:.\m.vvt:.:vw..,:,,,:•.•.:vvx:.nvnw: :v+. ..kw}}w.,L.v}.v},,,: .,t}:,,..:•::..x•.::,::}k:, kk}:a•}}}}.,;}tiv.:.}..>:, v.k.h..:\n: .v{,kn.,Jkk}`k}}}}u::kkk.:.v}:.ry :•:?iry?kiv}x •.r\:};:k}xv.t....vv...v Lvviv:v:.: }. •.v,}v}kL'"S vx} :.}yF.:4:kkkkkii ki::\,,,•.,vvhv:. •::�• :{•# kV::,kkkk::kk"v,:}}k#•';.:.}:..,:::..,:,v:: v%Stile:kkkk'vkk:F:kkkk::kkkk::kkkkk::kkkkk::kkkkkk}}tiLQ •..vw• .. # ... xnvv.}} w:vvvv•nkkLkkvxv„xx},:}: k}}};v„x v..k..,.:v:w,v:•.v.:vvv.:::v:8:>.k}:t} vx}•.}}xx}vv..:;.:....}}}}v}}::. v}v.}};S;..Y.::}tx. •`�.}L;\'}#v.>F:kk`:}:{:}kkwvww \'+`}`,v ,, :.,wk vxv x,'k>•:kk}k}}'`}let}{j}}}}. . kv, '2 'C,\••:?t, };.'';}#}' ta•:..:}.:•:vk.vv :vLa.h:•.a '`':#2:2 :v3:•.:{:x ••:\::: kk"•.ti}vy #k#F#ik k:tv, kkkkk tkkk`k•.vkk' .w �i:•}'^``�...v:k•::vR'}vv.\:let,..:. ?k#k } akky:}}:k`.#}}•.}:..} ?Fkti:#` Fv{�•iFFihFFF;;t# i???FF+:�:<ti .x:}}::t,::kkkkkkti}v::kkkkk}:+ikkki v:v}v:•:•}}•.}`: wtwSk �k}k} vkty ikk{v.}r „}vk k:F%lei M1#v�kk M1.,};.r,'k#:,:kv':•:•+:v:.Yi}::kkkkF#4}} kkkkk't>.'tt}}tkk}:::•.,•'t`k'`• ,}„ `{}{ kkt}}#::2`ikkkkv::.:. : `::k..:...•{;}}}:}}}:: ::•#};.::,kkL{k.v:.....::},:;;},••xL''•k}tk:{•. .... w,x•:..•._. ,.}..t...,,.v\::.kk?}•:.}x}}:?•}}}}}>:•::•}:•}:•}. .... ..:.:..w.v:::}:t +}v'L'•:vv::t:...:::w::v...:v v,.v,......::•::}.:?{kk}kk .,.•:.xv:::,:..:.::•..,,•::.:..,v:J...:... t:::.:.}:•.v.,v:•..;??•x..••:?:vv:•: ,w:.�::::.,v:v:::. .:.. Lv}...t•}::v::._:.:vw.:•.:}}{>y}}:•: t _ Proposed Water Main Street: Name: J 60 6 f. :�A Address: 5a9 M 1 116 Z. Phone number where you can be reached: b Lk'-- 44d-7 Date: Signature: WATER SERVICE LOCATION FORM �G House No. 3q ti r . ALL C) we vv4 t,:t.tn w:.:v.v vvvv:.v.xxxvv+t:.,::: .::.:• t....v..:vv..v`..;»�•.}•.}v.:;•.y.:�p•.}•.vn::::•:.}•::. :::'{+"ftiti•:.:;::}:;}:t:{{;: iti::i •ti5titii::'t�•:.>:t:Li}i++::{i:i'C•:ti�•v. x...t..tvv:x•.xvv:.t::ttx •.vv.:vv:.::•x:•:::::.•.•.{.}:•. ..t.v:.vv...: :' :.:::vvvvx w. 8::4vv .`:;�v.ti:tii i ttt?vv+vv tttti�•:•t.{if4i;`:::{{::'vi}i,>.t�i':::i::�}.M12":`v':::'v:::ti:t2v:;viM1?O:viii:y<i{•a.'t::::2�:::'.:•:.2Ci:i<::•:.iitivi":L::::t'::}�::::i •• i{:.vv v..vx.x.: ♦.x:v: ••vvvv:::::v:v.tivvv:t•.:v::.v. .:xa.v::};{n}}}}vv....... ::•:{•}xa ...a.:{{::,•:::.:.vx'•.vx......:nv.:vv.:v}.x}::}y.};,x:..}}........w::. .xnv:...:.t �:{ti..n.....vx:.. .......... :vvv.v::•::.,••,t•:a}:::.�:.:::;.a•:.t•;::..v•.::..}t:•::.:•.v::::.:•::mv}nvv}}XL:.:•.::v.:::.:v.2:.....v...:x. w.w.v.:.::. .....:... ... .w:rt... :..x::v n......v....v.vnv. .. .::::v:::..:. yr\vx{•i.}•."iv}.v}•.}:.::.v}.v ..:\•4v}::.vv n•.w:::::::.v.: v}}}:.......v ..:\.... vt:•. •••••••vv:v:::.v:::x:: xx:vtav}:vvv::vt• v:. x...xt.....v...t..:::.:::vvv:..:.vvv. ..v vx:..:vv.:v:tiiiv}::::: >.i•:vv.:v.•nv:::}:vvv:•}'.:v.:vv:::;•:.:...v.v:.vw:.::v:v::.•'v .. .}}}:::v::.v:.v:::.:•.v.v:.v:vvvv:v.:v.::v:v::.:.v.a..v::.... ....:::::::::v}::'.v}}}}{v.:v v::. }}:;::i�.•}:L.v.:{vv'•.v.:v.::tivv.}}:}vv..vyti.:;•.w:::.tv:.v:•::•.::ti^::::::::::.vw:.v:.:v......v......v:..v.::vvv>..,:.v.. .............. ....... .....�v........vv,{}::.;xti}}}}}};,.:.aA::v.t.:.vvx::v.v.:::xv:•:v:•::.v::::.v: v.:v.v.: .:.v::.tvv.::::v•xv.:xxv. v...n..t:..x......:.v.v.v.....v.xv•.;..v:::.v}:n••}}}}vryw:::n.v};.}}}:.v{ic}:::•.:::::•.v.::..:.:xv........::xv:::v.:v.:xv:::::. .:v:.v:::..:v}ti}};`.`;y;;}}}},v,,.tix:xx.vv::.:x..vv....x.v:v:::.v......xxv:::x{{i:v:}:ti•}:{<itiy::::•:{ti vv�•n Proposed Water Main Street: 0 I/we do not wish to be connected to public water Name: vN- 11 - Address: Y Phone number where you can be reached: Date: Signature: a WATER SERVICE LOCATION FORM House No. "ql3 L4 z � •v wQI� W H► AL Proposed Water Main Street: Name: �r� h 1 e S v ► ha Address: Phone number where you can be reached: Date: 3 - / 7 0 Signature: „� i 7 WATER SERVICE LOCATION FORM a � Huse No. i 5� l t 4i- Ve r aw w w Proposed Water Main Street: Name: ToSP h (2el- Address: EO Phone number where you can be reached: Date: —O� Signature: 6L Ild !t WATER SERVICE LOCATION FORM House NtE:d::) /�i lJe ri'n i sti ed Reak Roo" t i i 1 i t f W W x Proposed Water Main Street: M 1 if� Y— R � Name: J Address: 5'17 Phone number where you can be reached: X60 5033` C>610 Date: 3 ram-- 0 Signature: k4� WATER SERVICE LOCATION FORM e e House No. D S —fir• �rzd� r ��.�`+✓+�..®CGJ►e�r.a s As�io v� G�sw.�a€� i i i V s i W W AL Proposed Water Main Street: .B%gd[-E /,�j 2019 Name: Address: 0e�oCl�F/? Phone number where you can be reached: Date: o Signature: �a WATER SERVICE LOCATION FORM All- House No. - 6 � .. ivo- w w, Proposed Water Main Street: Name: �- r Address: -,�Q 1 M 1 L /`('c�Q .�®G� w/Nk"c i Phone number where you can be reached: -_ G�,r�r - 9-/ o?— Date: 1 Q �a I e y' O 1a Signature: F: WATER SERVICE LOCATION FORM q House No. �3 141 th l ?I 1 W W Proposed Water Main Street: /'a5kr- 6 T � r Name: r �Co Address: 93q �`�S/r I Phone number wh re you can be reached: 0 - Date: Signature: 4 WATER SERVICE LOCATION FORM � a 4 House No. �d�r/ st�,e r Cer+gKl� GC„�twf M � A 406 t ----------------------- Yr W W AL Proposed Water Main 1 Street: , Name: Z rc i✓2 Address: (aq- o2 ro3ly- S f Phone number where you can be reached: `4o - 7- "� 3 Date: 3 ' At Signature: — 1 WATER SERVICE LOCATION FORM House No. �8 rat G C�S& 49G L `ji1/LLf2 �O�� W W Y Proposed Water Main Street: �/ i/ter kc&c� Name: zi'ccll S'eC/�,e Address: _`/949 Phone number where you can be reached: (f F2* Date: Signature: �..,P O WATER SERVICE LOCATION FORM House No. /O`IS W W _. mid agie CIL G #4rW44 Proposed �R W4 Water Main s ' Street: Foy re;,C NT LX X Name: 4Lef--7- - Address: /OAS/COS72/2 57� CX? Phone number where you can be reached: B�Io0 Date: 3-- 3— ®/ Signature: 1 WATER SERVICE LOCATION FORM House No. C, W W Proposed Water Main Street: Q ,,,Q,�„ Name: Address: "\LQ Phone number where you can be reached: Cd 4 - Date: Signature: i i WATER SERVICE LOCATION FORM �o House No. 10 Wo\)tiD 1-0 7� Co�� I G UJ NTH �670I '5Cw�.R To W W Proposed Water Main Street: N,LL- Name: Address: 10 1AK&g 1�1j gop p Phone number where you can be reached: Date: -0 Signature: September 14,2001 Town of South Windsor 1540 Sullivan Avenue South Windsor, Cr 06074 Attention:Mr.Robert Deptula Subject:Domestic/Utility Water Service For Miller Road. Dear,Mr.Deptula In accordance with our conversation at the recent informal meeting held at Council Chambers in Town Hall,we,my wife Priscille and I at 504 Miller Road,do not wish to hook-up to the public water supply at this time.This decision is based on the fact that the present well supply,at that address,has no contamination,which is the basis for the installation of the public water supply. However,in accordance with statements made by all parties(You,Connecticut Water,the Contractor,and Fuss&O'Neill)the supply connection between the water main and the property line will be installed at the time of water main installation,by the contractor,at no cost to the home owner.I interpret this to mean that the only thing required,at some future date,to connect to the municipal water supply will be the actual pipe from the house to the property line.Everything else should have been installed except the meter. Attached to this letter is your Water Service Location Form.I have indicated upon the form the location of the well service inlet,the septic system location,and the area in which the proposed future sanitary sewer connection will be located. The dimensions for the well service location are based on the outside of the East foundation wall and the top of the foundation.The well itself is located approximately 20 feet from the front of the house and somewhere between the point where the service enters the house and the East edge of the foundation.I have also indicated that the property lines are located at the utility poles,give or take a few inches. Please contact us if you need any additional information. 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'::vr.:•xv::;}:v}}.�}:emu:,:.:............:v...n..• x::::•}}:w::.vv::.. .:.....v...v....................... ........ .....v..................................................r....... :.•.v::::•::•:::•:v:hw:v:...................... ........v::::::..:.......:.::•::.{•}.......... ... .........., ......,..;......:::::::::.�::::w::::::::::::::: :::.v:. t t'•'ii'iiiin}:i::::�{:4v:tivi?:v}:::'}i':is::v}:i}:�i}{}:•}{$ii}::::;i?.. j,,, .i:{;���•:?•ii}:•}�'?:�i:•'vi'ti�'»�iiii::y�iii:::3iiii'rri?iiiiii:>i}ii::is}<�ii:3:ii:j?}}ti�:�iii:}:i{;:}?..:::::nv vw:4�::.::n,{:::.}.w:•:::::•:nv w.':4:•}}:{+.?.,.v:.:{}:4:{:v}}}}:S:G: ....:......................... ............... ..;:..::v::.}:J}v... v.O}":}}v::::::::::.v:::::-v::::::::::::•::.:::::::.v:vv.:v::::::: v::::::v:h•.v..........:......................:.:.v:::............................:..::::::::.....................:. vv:w:.v...vw:'•:::::.r nv n:::x{::::::::::w:r.::::vv::n.......::::.:.:::x::::::.......:.;.-..:....,.: rv...... :.v:::::.:v••v.'.- vv..v:v:};,v:n; .v::::n.::wnv.v:::.v::::::::.::y:::.v:::::.:::::::::::::::}:v:nii�-.v}:}:::..v}::•}:4.v.i{•:• .v•:::::.:::•. .v:::::::.:v}}:v::{iiij}ii.<`•:{i<:i}}:?v:•}:::.`...:....::n..::.........::.vw:nvv.........n.x...:n}::.:v::.v::w•.v::::.:.v:::•.:• .::......:- '......v:: .. ............. ......v::::.v:w::.v:::::::•::•:::::::nv:::::.........:...::.v:.:::vh•:}::::v:::.v:;...:?w:.::i?{{•:4:4}}:?•}:^};i?•}}:?•}}.........:::::::::::::::: Proposed Water Main Street: ►+.�..�..¢.. 1� ❑ I/we do not wish to be connected to public water Name: Address: �a E:+(% Phone number where you can be reached: Date: Signature: t WATER SERVICE LOCATION FORM House No. W W AL Proposed Water "lain i Street: $TOA)gl n lq--L Name: ID oAt&42 In/f"u/LuS Address: // S ) Phone number where you can be reached: Date: 3 1(,Io! Signature: (0 Uaz) WATER SERVICE LOCATION FORM }�nU C W o�,w t%nt Eoier ,ln Sam Luca—twv, a c, 2t ii�-i w-e l l iYlt e .R CEHouse No. y �e� ` �eb�b� Q,"�� ,bi'e �v � ^( us5 w w AL Proposed Water Main Street: At, (- �o -Name: L REN E �F i Tzp RTI' -I C l� Address: S m d l i2 0 41J Sa�� r Phone number where you can be reached: Date: 3 -1 D Signature: M WATER SERVICE LOCATION FORM cc House No. 05 eAl LJDUId- (1*k-P_+U kook U f 4-o S eL -e. cLf So_vK_Q 4- 'VVLR- GL S •ititi{:tiL�:tLtisp:???':{,}:i6?:iti:ti4iti:L:v:{titi•:•:tititi>..: 1..`{`:::' rn} '.v.vn:?tii}.•��r,;'rtiiivl?•'�ti;.titi�i':S;:L;:}}'i}:C};<:i:ti;:y?:L;+:.:�..••,.:�`M1':�.L.�'ti:':ii�:•i':�:L`•'`': :.?::w::xv.:8 w:?.•w .::: v....:.n:v.:vi•.vvv:v.v.:vvnvv.�:::•:v:L•::::::::.::..vvv:•::.::•:::..: ......................:.............. ..:::. .:..v....v.:..:..........v n.....:.::::.;.......:vvv:k:::vviw?:::.:L: v.�.�:?.'L•.L•:::::::;•::::::.�:.:::�::.v nv..:..v ..::::ii•?:vxv.:::•.::vv...w:.vv.:w:i'?. wn•:::;.... ... w.v,.;,v............. .:w:.:vw;;::.:.:...:.......:: :.v...w:w:::.:�?::�v:.:•.:v�:::.vviv?:•i::4??:Li:�'w.�::.v::.::::�::::.Lx•::.v:.:v:vvv:v:v::::•:.:�::•::::•:.�::::. ..................:::.:vv:::v.:::vv.vw::..�.iw::;:::v:.w::::::::.v.v.:L�;:........ ................ ........... v.•.:•.vv.v�.••:::n:xv:v v:•.:•. •.vv::•:.::v}?•..........•.:.:.:::vvvvv:::.:�.ivv::�::::.v:::i:::�:.' :•:•.:�•.vv::.;•. .....4.... .............\................ .....n...:v.....v........v..v.v:.....v...v. .............. P;eyesed EX 1s-hj vn Water Main Street: Fos+ec s+- Ex+. ❑ I/we do not wish to be connected to public water Name: _ lj o,- Address: g o �o_c �e.r St- ex•�. Phone number where you can be-reached: (8U0)(Q(4(4-&'4 Date: Signature: . eec. WATER SERVICE LOCATION FORM INSTRUCTIONS 1. Indicate house number and name of street on the attached form. If your property is a corner lot,-show both streets and indicate which street you would prefer to have your water service connection located. 2. On the water service location form, indicate the following as best you can and provide dimensions where ever possible: A. The horizontal distance from the corner of your building to your existing water supply pipe from your well that currently enters your building. B. The location of your well used for drinking water and water service lines on your property. LLA,�_kZ,,,0L, C. The preferred location of where your water service will connect to the water main in the street. Also, indicate where this pipe would enter your building if different than existing. Please note that field conditions may require modification of your preferred location. Sr& as e y- .sin." D. The location of trees or plantings near the new water service connection that you would like to preserve. n 0y,,_k E. If known, approximate lot lines near the water service connection. F. Location of septic system on sewer lateral. 9c-+n `'� G. Also please indicate finished basement, rec room or any situation in the basement that would have a bearing on the service line location. ri 0 a cathy2001/deptuia2001/march 2 water service location instruction form.doc(instructions) Zool sue, 0; E 1 m � l -ta, kk 's, a � w� P WATER SERVICE LOCATXON FORM House No. � L I�o� M M S� i I W F W' � h SF. Proposed Water Main Street: Name: (FD W"q�fiqb j i s Address: L4 i Ce Li L, L F R 1R�} . Phone number where you can be reached: _ yW- q` ( I Date: ;3 '9 Z v Signature: WATER SERVICE LOCATION FORM House No. pit acft jpfS + j/ e� Proposed Water Main Street: ❑ I/we do not wish to be connected to public water Name: /WAW//q Address: .y Phone number where you can re ched: f� , Date: v 2 Signature:422a2��M t0,0 srq 10 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 soe.co� TELEPHONE (860) 644-2511 July 20, 2001 CERTIFIED MAIL 7099 3400 0005 5723 9335 Michael S. Lanata 460 Miller Road South Windsor, CT 06074 Dear Michael S. Lanata, This is the third correspondence to you requesting that you complete the water service location form. Enclosed herein are copies of the previous correspondences and a water service location form to be completed. If you wish to have your residence connected to the public water please fill out the enclosed form and return it by July 27, 2001. If you do not wish to be connected to the public water please check the appropriate box on the form and return it by July 27, 2001. If you have any questions regarding this correspondence, please contact me at (860) 644-2511 extension 248. Yours truly, Robert Deptula, .S. Environmental Health Officer RD/cm cc: Tom DeSantos Fuss &O'Neill, Inc. 146 Hartford Road Manchester, CT 06040 Deptula2001/july 20 3rd request info for new water serv.doc �i tOw N sf,t O-P soaLll V&U&ot e � U y 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 soe coa AREA CODE 860 / 644-2511 March 2, 2001 Michael S. Lanata 460 Miller Road South Windsor, CT 06074 Dear Michael S. Lanata, As you are aware, the Town of South Windsor has retained the firm of Fuss & O'Neill to design a water main that will serve your area. The purpose of this correspondence is to request information from you to help with this design. We would like information from you that will locate where you would like the new water service line to enter your home. The Connecticut Water Company would prefer that the line enter from the front of the home if possible, even if it may require minor plumbing modifications. It is realized that this may not be possible in all situations. In some instances, it is least disruptive to have the water service enter where your well water line presently enters your home. Please remember that your home will be connected to public water anly if you abandon your well, and that the cost of water usage is your responsibility. Also, please remember that due to conditions or circumstances, the service line may not be able to be installed in your first choice area. If you have any questions regarding this correspondence, please contact me at (860) 644-2511 extension 248. Tom DeSantos or Michael Anderson from Fuss & O'Neill may also be contacted at (860) 646-2469. Yours truly, Robert Deptula, R.S. Environmental Health Officer RD/cm cc: Tom DeSantos Fuss & O'Neill, Inc. 146 Hartford Road Manchester, CT 06040 �i how« sf+t� 7awn O�SOUR vt e � u m G 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 R-co AREA CODE 860 /644-2511 June 21, 2001 Michael S. Lanata 460 Miller Road South Windsor, Cr 06074 Dear Michael Lanata, As you are aware, the Town of South Windsor has retained the firm of Fuss &O'Neill to design a water main that will serve your area. The purpose of this correspondence is to request information from you to help with this design. We would Like information from you that will locate where you would like the new water service line to enter your home. The Connecticut Water Company would prefer that the line enter from the front of the home if possible, even if it may require minor plumbing modifications. It is realized that this may not be possible in all situations. In some instances, it is least disruptive to have the water service enter where your well water line presently enters your home. Please remember that your home will be connected to public water only if you abandon your well, and that the cost of water usage is your responsibility. Also, please remember that due to conditions or circumstances, the service line may not be able to be installed in your first choice area. If you have any questions regarding this correspondence, please contact me at(860) 644-2511 extension 248. Tom DeSantos or Michael Anderson from Fuss &O'Neill may also be contacted at (860) 646-2469. Please submit your completed form back to the Town Hall by June 30, 2001. Yours truly, 4�DegjaR.S. Environmental Health Officer RD/cm cc: Tom DeSantos Fuss &O'Neill, Inc. 146 Hartford Road Manchester, CT 06040 Deptula2001/march 2 request info for new water serv.doc WATER SERVICE LOCATION FORM INSTRUCTIONS 1. Indicate house number and name of street on the attached form. If your property is a corner lot, show both streets and indicate which street you would prefer to have your water service connection located. 2. On the water service location form, indicate the following as best you can and provide dimensions where ever possible: A. The horizontal distance from the corner of your building to your existing water supply pipe from your well that currently enters your building. S k-tie-k 361, �Or�l�r B. The location of your well used for drinking water and water service lines on your property. _ S a` 5 C. The preferred location of where your water service will connect to the water main in the street. Also, indicate where this pipe would enter your building if different than existing. Please note that field conditions may require modification of your preferred location. - 6 v ;5)-; &s 4i o v /cl be- o.k- 13"* /Il4e- 44 dittos$ pass ;h ;bfy •4 D. The location of trees or plantings near the new water service a d o.d ws connection that you would like to preserve. - �a, s� �( be �rrwrt dT I�Ous0— G•Jt E. If known, approximate lot lines near the water service connection. F. Location of septic system on sewer lateral. See fkefck IM e sit G. Also please indicate finished basement, rec room or any situation in the Easement that would have a bearing on the service line location. n,s weN wQ��� I N Ile cathy2001/deptula2001/march 2 water service location instruction form.doc(instructions) t s WATER SERVICE LOCATION FORM i I House No. �f 7 � iV •'�`�+i!- h mod. i fl = 3 6 toeLl 4# Nc Wa�� (fag I 7� LUA L0Cdf- 4., Nir B qq s� l9P,1- r IA/ Proposed Water Main Street: Name: I�� ul t a,,, !4 E�r ,�,s Address: / T'1 j i e K-4 - Phone number where you can be reached: 860 - Gy� 7-2z 6 Date 71141f, . Z1.0 a®o t Signature: �f c .Q J. WATER SERVICE LOCATION FORM House No. J • c v i „`.. •. i, z ,�zw ,,,,,+aikzi ';t", 2 ..•iY'::e`:�„..,Yt h�Y .„, g. :, .� .` kk � ,., ,�2:2,2'Y. .�h, ,•,.,`: �`�•`�\`C�t `?`::� 'y.\:. 2,,,tkY' L. � ��•Y,t` }. ' - ` 22,: 'k � \kY���� z `}•``,•.F:'°`YYt.�„, ±r* Y:, \:ZA`�' e,��•k aY ik�C�'<,wk •t�.k , , , •f,zz, z ,i '; z:�„ki�„iz„ ,t, `�"4•:`"�.`;zY�:'��:£�•`:Y�`,',` ,5\ ,tiiiiz:``�.�Yizz„';,�vw�',`2`z,•. a \•2`tt`, t •2..�,tt.v}. fit.... •} ` '•��Y.,�.,....tkYY"k,:'",h`2 \#;°G, �:, ft, t c�• ' ....,trc.ftilem-17, � •�„,> ,•,, \.�Y �„kz,:•'zz%;z?iz ?itzi::YY'ta�zz �:zki,��`,?�..Yzi>z'Y`Yi.,xz�•.it?.t;;zzz��,`'tzx�`••: AL c Proposed Water Main Street: os 1,2L _ ❑ I/we do not wish to be connected to public water Name: Address: T Phone number where you can be reached: 7 1Z 71 Date: 1 Signature, Cc WATER SERVICE LOCATION FORM House No. 12 vx.. rv: ••.}} }4:tii `"itiC {j:4.�ii. .�{.i::.:?{i;':}kCit:'•.v,...4v�:•v.•rt:':i�i::iti}{<:Jv:;4t�y'rii�titi..�:1::tiv:jry:.::: t�tiiv��: ti• iiitii ?t::}i::•:<:}}}ii;C?}:•}iiiit•V:�::'tii?t 'i•.vv.v..v., :v?}v'i�vv.::v>.i>::•:v..... ....vv:..:vv... . .i??•:isii.}:G}:}}:?:iY?v.;;•:ti•:;i?.}:w::;iv:•}:•}:^'.}K•:?•}}:iw:n};.:}}?vi; •.v.:::�}::}:?�.� ........v: v?.::.v.:vvw:.;�:........::. v:::.. ....vn..}:}}\:}i};:.}}•:.:•.v.�.vv:.v.xv::vw:.v.v.n..v......vv.vv:.::v:}::................:...... ....:::::::.:.......v.v.......vvvv..:...vv.: :Xvv: I Proposed Water Main Street: ❑ I/we do not wish to be connected to public water Name: I ; Address: Phone number where you can be reached: Date: Signature: �y� - -7 K�� i r ' WATER SERVICE LOCATION FORM ex.;s�ir5 well y7 't House No. �a 7 25 � ��. •ram P ee ej �i JZ f4)( ere, � i 4 ire hew waa'�;,f��� W a : ( hew Proposed Water Main Street: �e�y Name: 14 f r- pe Address: 7 Phone number where you can be reached: I 11 'yl w Date: Signature: (�-j, "IMF�ORTANT MESSAGE FOR A.M. DATE - TIME l 1 —P.M. M �- OF �yl t/vl�i. 11�e� PHONE AREA CODE NUMBER EXTENSION ❑ FAX ❑ MOBILE AREA CODE NUMBER TIME TO CALL, TELEPHONED PLEASE CALL CAME TO SEE YOU ': WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILLFAXTOYOU MESSAGE /�d Som'Pdr� lDoking �-� `-' � o f oe 1 I .►.7 I U 4'ookoc9 ('4 p o )-,Kru so i— S h t s s cjj�e�5 ry�vio-T SIGNED TOPS IT FORM 4005 LITHO IN U.S.A.