HomeMy WebLinkAboutDrain Layers Permit 78 Carson Way TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 6032
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated belo at
Lot 80 Carwon Way at pr miss. owned by --54nS C?yts ,
whose address is � ��' a tQ.
Lay House rai , Repair H6(i a Drain, Lay Main, Othe ,
for 41occupancy or use, wit �r'tG �' f
Family Units, ith acres. 1�l`
Type of Sewage to be connected under this permit SANITARY SEWAGE ( ► ,
INDUSTRIAL WASTES ( ) , OR- (
Connection will be made with Ito
Show sketch of proposed work or furnish 'two (2) copies of separate drawings
O HA REQUIREMENTS MUST PF
LLOWED
SPECIAL CONDITIONS S
Desired Starting Date Estimated Time for Completion
Permit to be issued toU�y, C�
the holder of Drain Layer's License No. Zo _ 3G 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 has received Town Permit No. and/or `
CHD Permit No.
Signed
Licens.0 DrXy
Layer
The above named Drain Layer has a valid license issue the State of
,Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor:
-3
Engineering Dept. Date
Permit Fee Paid $ Check Number , � ".��
Connection Charge Receipt No. {h Dated�,Avi� \. ,,;5
Issued by
" INSPECTION
Date work started l `Z-/� Date completed / 2. � 1; :22
Sufficient notificaEioii receive : fyes No
Special Conditions
APPROVED: ,93
Q Date
SANITARY LATERAL & EXCAVATION PERMIT
INSPECTION REQUEST
DATE OF REQUEST: TIME: 49: l C?
BY: C FOR LOCATION: 44 d o co- t 'l
DAY INSPEC. NEEDED Z - ( 3 r93 TIME: 0 0 �} e
TYPE OF INSPECTION:
( SANITARY/LATERAL (PERMIT NO. 0 3 Z ) ( °`) FOOTING DRAIN
{ ) EXCAVATION (PERMIT NO. ) ( /� ) OTHER
INSPECTION REPORT
DATE: /z - � �- TIME: 1i®C) --- Z ° INSP:
CONTRACTOR: WEATHER: CJ
WORK IN PROGRESS: Q,t
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS: