HomeMy WebLinkAboutDrain Layers Permit 161 Beelzebub Road 1 -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. , 7422 Contractor SKIPS SEPTIC
LocationIZ,EBU,B �FOJA,+. Address 27 MUDDY BROOK ROAD
Type Work RPR- SAN LAT ELLINGTON CT 06029
w� No. (860)875-2332
Date Insp Needed 1� ,s rj l�j OL
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Time Insp Needed 0 f
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Pe t No. 7422 Town of South Windsor, CT
Perrlpi t Dais 05/09/2002 Drain Layer Permit
Expiration' Date 06/08/2002
Descrip: RECONNECT SEW. -LAT. AT ADDITION
Applicant Location
Name SKIPS SEPTIC r 1 BEELZEBUB ROAD
'Addr. 27 MUDDY BROOK ROAD E LDS WAYNE L & GAIL L (SURV
ELLINGTON CT {
Phone No. (860)875-2332
The Drain Layer a s s as c7 cense issued by the
state and hereby agr nd i s set forth in the
attached 'Conditions' . 1 r '� a with Town of South
Windsor standards, al q ached conditions.
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Issued By
Date Inspected 15 JZ k"N y 5St?185rp
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APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work:- 16 / Ze,e- /z Lot #
Street No. Street Name
Premises owned by: 1AA i It ; 1 �riv/fir
Name of Firm: 5 4(PS SEP77 c- Phone: �7 sz 3 3 Z
Address of Firm: d 7 Al ve(cly 6`�k (:'T
TYPE OF WORK:
Lay House Drain X ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with ' ���°�` � � ' 7d �.—:)I'
Existing Water Supply: Public Water Well
Proposed Start Date /s�v2 Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. v20 1? Z- 5— Only holders of P1 or P7 licenses will be
issued a permit. 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 attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. -2407- PF60 ' 4
4 Sign Print Name: 4141L- C£/z f i
Air d
Licensed Drain Lay r
Date: 016t lGZ
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
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20' LATERAL
EASEMENT
CMS \ /—TF/MH 232.59
/ INV. 227.78
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230.58 232.58i �a x22
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CLEAN-OUT/ 228 y\ 228.G
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226.90
NOTE: 240.86l /237.32 ,� / J F.L. 4"PVC=
r LOT " N
!SHALL GRANT LOT 2 THE RIGHT TO % PORCH CLEAR 7 , / / 231.41
BRUSH AS REQUIRED TO MAINTAIN A WESTERLYIf
SIGHT DISTANCE OF 200' `41 2C i f c j ^• �88 i
43,/ j r i l / ;227.99
35.34 /
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: � � a �-
BUILDING ADDRESS :
STREET :
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) NAME OF NT SUPE ISOR I
'.)J FAv'vby 6Roais R D
STREET ADDRESS SIGNAT RE
L L t Q&-,r6 iv C7 6 0 2-1 ( S C-�,,A I5 o v DATE
TOWN STATE ZIP INSPECTED BY TOWN
2331, DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER