HomeMy WebLinkAboutDrain Layers Permit 508 Burnham Street .r-"c .,e{.. _ +g,. . ::c .. 4 .�?"'.r��ti�.;+y.r. ,ri-•_: � _.� s � T _.. T - r..eat
TOWN OF SOUTH WINDSOR
f DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT NI 5987
19 ei,
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicatel beloy at vhxIct
f!2 at premises owned by 62r
whose address is end to
Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use, with —�
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE (V) ,
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with
A—VFM-
,Show sketch of proposed work or furnish 'two (2) copies of separate drawings.
lo. 0
OSHA REQUIREMENTS MUST BE FOLLOWED
SPECIAL CONDITIONS
Desired Starting Date sty Estimated Time for Completion
Permit to be issued to 6"-cr brr- ` .n54 To the holder of Drain Layer's License No.. oZG$°I oZ Permit will expire thirty
(30) days after date of issuance. The undersigned Drain Layer hereby agrees
to ail the terms and conditions set . forth in the permit and the reverse side
thereof . Applicant has received Town Permit No. .and/or
CHD Permit No. .
Signed
Licensed Drain Layer
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 of the Town of South Windsor:
Engineering Dept. Date
$ Z3o3
Permit Fee Paid 25 � Check Number ODO
Connection Charge Receipt No. Dated 42; 2
a
Issued by
INSPECTION
Date work started 7- 9 -.9,3 Date completed
Sufficient notifica=ion rec ve G"Yes No
Special Conditions
01
APPR =Lg r7�
Inspector Date
Oc '� � C
DRAIN LAYER'S PERMIT APPLICATION NO.
THE METROPOLITAN DISTRICT
BUREAU OF PUBLIC WORKS ""'
19
5N Main St.;P.O.Box.800,Hartford,CT 06101
ACCT NO.
The undersign a ees to pe m under ordances the work indicated
� _
below at nn
s• i he
on the
at premises,owned by
whose address is ❑Main Sewer,
NATURE OF WORK: [House Conn; ❑Lot Drain,Catch Basin;
Repair; ❑Bulkhead; ❑Utility Drain; ❑
ew; Family Units;
&OuPANCY OR USE: ❑Residential with
[ 'Commercial; ❑Industrial; ❑ ❑COMBINED._',.
❑STORM;
Public Sewer or Drain is: CANITARY;
ONLY the following SEWAGE or DRAINAGE is allowed to this co necti� ' 19
.SANITARY SEWAGE; ❑INDUSTRIAL WASTES, as app
_Q;STORM DRAINAGE including surfac and sub-soil wa r,
Connection will be madew
SPECIA CONDITIO S
r �-
for `r cavati,
Town-City Permit No.
and CHD Permit No. 9
Sewer Tribut to P.C. Plant Insurance expires _ 19
Data from r ., Plan Permit will expire on b `
DaDr. Sh, Required plans,submitted, approvedy ;
Main Sewer Approved for H.
Contractq.'s.
Area Permit Iss ed by ,.the holder
Permit to be issued-to ed:by
Met. Dist.License No -
State License No FINAL INSPECTION:
FIRST INSPECTION: ,19_ Called M. , 19
Called M. M. 1.
T Insp. M. , 19_ To Insp.
FINAL INSPECTION APPROVED on
19�
CA-
YZI
by