HomeMy WebLinkAboutDrain Layers Permit 07 Baker Lane TOWN OF SOUTH WI N DSOR
1 : DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
t
DROX LAYER'S PERMIT ., 6204
�Q�'er Lam,
Pursuant to written application, permission is hereby granted to the
Lice a d �rain. L;y r n ed herein to perform the work indica ed below ax
0 .. at prem ses owned by ,
whose address is 8 to
Lay House Drain,; Repair House Drain, Lay Main, 010er ,
for t s occupancy or ue, with
Family Unit��ith acres.
T --
Type. of Sewage to be connected under this permit : SANITARY SEWAGE ( ,
INDUSTRIAL WASTES ( ) , OR ( )
Connection will ,be made with _ V' e 4
Show sketch of proposed work or furnish 'two (2) copies of separate drawings.
�v H
O HA RE¢UIRENEN S yMUST E OLLOWE
SPECIAL CONDITIONS
Desired Starting Date A0--2y-ff/ Estimated Time for Completion//
Permit to be issued to '�� C_ Cos
ee. holder of Drain Layer's License No. J`(:.) . Permit will expire thirty
(30) days after date 'of issuance. The undersigned•+.Drain Layer hereby agrees
to all the terms. and conditions set forth in the permit and. the reverse side
thereof . Applicant h'as received Town Permit No. and/or
CHD Permit No. ,
Signed Y za�, �
cense rain yei
The above named Drain Layer has a valid license issued .'by the. State of
Connecticut and has filed a -satisfactory bond and insurance policy in the
name ofthe Town of South Windsor: /f h"I lq4
ngine ng Dept. Date
Permit Fee Paid .$_ 16 00 Chec umber QQ�
Connection Charge. Receipt No. 2(. Mated Q
Issued by
INSPECTION 77
Date .work started 0 -Z,4- 9 Date completed ; �n _ ? 4-
_ 1
Sufficient notifica i' nd�'r"eecceeiv a : '-77`yes No '
ecal Conditions
APPROVED• �Cl_Z4-_
Inspector Date
r SANITARY LATERAL & EXCAVATION PERMIT
INSPECTION REQUEST
DATE OF REQUEST: 1C)\��/I9/� TIME: 9:30 FM
BY; X61an FOR LOCATION: LAi3ctk§m
DAY INSPEC. NEEDED 1,0 TIME:
TYPE OF INSPECTION:
( _ ) SANITARY/LATERAL (PERMIT NO..Gc3w ) ( ) FOOTING DRAIN
(; ) EXCAVATION (PERMIT NO. ) ( ) OTHER
INSPECTION REPORT
DATE: /Q - 2. 1 - 94 TIME: � �O � �,3d INSP:
CONTRACTOR: L WEATHER: A S of
WORK IN PROGRESS:
IL
AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
•