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HomeMy WebLinkAboutDrain Layers Permit 81 Commerce Way .... .. �..-^w"F:rrn ce'ui.x_.��rrm..r .s:.�an.,j,�,y,,,,m...�,,'4"°�+"`T'z,' %:P4fi �•-''.-�,. �.�°'��: .,,. v t. -_ TOWN OF SOUTH WINDSOR I DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT M 6294 -` 1 1915 Pursuant to written application, permission, is hereby- granted .to the Licensed Drain Layer "named herein to perform the work indicated below at G.cr 1 L.t+ at premises . owned by whose address is and to Lay House Drain, epair Ho se Drain, Lay Main, Other_, for occupancy or use, with Family Units, with ./ acres . Type of Sewage to be connected under this permi-t : SANITARY SEWAGE ( � INDUSTRIAL WASTES ( ) , OR Connection will be made with show sketch of proposed work r furnish two (2) copies of separate drawings . OSHA REQUIREMENTS MUST BE FOLLOWED SPECIAL CONDITIONS Desired Starting Date Estimated T me for Completion Permit to be issued to &Z.) .�� the holder of Drain Layer' s License No . 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 . a d/or CHD Permit No Signed icensed 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 Permit Fee Paid $ Check Number 9777,- Connection Charge Receipt No. Dated 4: — 0" Issued by ,/"P INSPECTION - Date work_started °7 s'- �f Date completed_ -$'.-� S Sufficient notification rece ve s es No Special Condition - 7 cv ' APPROVE 7 Inspector Date SANITARY. LATERAL & EXCAVATION PERMIT INSPECTION REQUEST DATE OF REQUEST: �i� �y " Z�j/�� TIME: BY: ,G%�� iC- FOR LOCATION: Gpfiyl/llG: '�y/ . . DAY_ INSPEC. NEEDED Gf�G'I� `p��^Sys TIME: 'TYPE_ OF INSPECTION: SANITARY"LATERAL (PERMIT"NG.- FOOT.ING"DRAIN-":- EXCAVATION. `. (PERMIT.NO. ) ( ) OTHER INSrPECT101 REPORT o a DATE.- g - TIME: Ilen -/f D a Z INSP o 4- ns CONTRACTOR: WEATEM— WORK- IN PROGRESS- li �© O L Z /wL AREA OF CONCERN: 12 SPECIAL INSTRUCTIONS: ?- 7- 95 qa,,,,