HomeMy WebLinkAboutDrain Layers Permit 716 Deming Street .ry
6349
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to
perform work at `7/ iy,i„/r,_ s T; �Q Lot# as indicated below, at
premises owned by 13*m 102,,.r i:Z whose address is and
to Lay House Drain , Repair House Drain Lay Main Other , for
occupancy or use, with acres. CaNUer-nok) Mk olwA* l d
.i ype of Sewage to be connected under this permit.• SANITARY SEWAGE 4/INDUSTRIAL WASTES J,
OR f J Connection will be made with 11 PVC✓ AN
work to be in accordance with Town of South Windsor standards,all OSHA requirements and tfie conditions
indicated on the back of this permit.
Proposed start date ,Lj2-,J,�S Estimated time for completion
Permit is to be issued to ems.CF)oh! _ z - e o erp j a 'Layer's License No
7- ay 03 a3 Only holders of P1, P7 & W9 licenses Will ba issued permit. Permit will exaire &rtv (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 Street Excavation Permit No.
and/or ConnDOT Permit No. /3 SS
Signed
Licensed Drain L r
C�sy(� g. "¢-�ov9�,
FOR TOWN USE OK Y
Permit Fee Paid $ .0r-O0 (Check No.)
Y N Connection Charge S dkiu=- (Receipt No.J Dated
Insurance on File (01f J
Bond on File (vr( I This permit is hereby issued to the above named Drain Layer who has a valid
license issued by the State of Connecticut and has on.h e, satisfactory bond
Premises subject to and insurance in the name of tare Town of South Windsor.
Intertown Agreement ( I
Record of Sewer J.
Assessment ( 1 ( J Issued by -ILDate OJ
INSPECTION
Date Work Started �� . �'�y� Date Completed
Comments
APPROVED: /
/ -®2 J
Inspector Date
N ROUTE NO. PMT.2B-REV 8/92 GATE OF ISSUE PERMIT 0.
sa it„h vitzdscr 30 (302-0DEPARTMENTOF6 03TRA86$) October 10,
r ' PORTATION
NAME OF HIGHWAY BUREAU OF ENGINEERING&HIGHWAY. OPERATIONS DATE EFFECTIVE :��
t %outs n STATE OFF CONNECTICUTPERMIT 1. 1135508,
LOCATION OF WORK,OR BEGINNING AND ENDING POINTS: DATE OF EXPIRATION AMT.OF SURETY BOND
October 10, 1996 CERTIFY CHECK
716 Doting street SURETY COMPANY/BANK
1�QalftalrA Surety
TO BOND NUMBER
R6 oso aoR E N D I N G
376 PLZkSAI51'P VMZBZ RIM
H Knumm, comu=CM "074 FEE: DATE REC'D
L- __J 10/10/95
Permission Is hereby granted to do the following work under the supervision of the Department of Transportation,Bureau of Highways at the
location designated hereon, subject to the statements made on the application for permit, and to the pertinent provisions of the current
permittee manual,Including amendments thereto.
This permit does not become effective until all necessary local and State licenses and permits are obtained by the Permittee or his agent,and
further,the Permittee shall be subject to all Federal,State and local regulations.
This permit is issued in strict compliance with, but not limited by, the following specific requirements, referenced attachments and the
current edition of Department of Transportation's Standard Specifications for Roads,Bridges and Incidental Construction as are applicable.
56G-4344
The Bureau of Highways Permit Inspector Jar* hdam*tz MUST BE NOTIFIED AND THE
CALL BEFORE YOU DIG REQUEST NUMBER RECORDED 48 HOURS IN ADVANCE OF
START VG WORK y THE PR FCT. RE?UEST NO.
Fzc vats v i>ta the Wray right-o -vay . to coal c r arts Share
Sa:nior Residence driveway, instan storm e��3na 'as delineated on plan
entitled Porter's Share Senior* Developnentt an Routes 30 Darning
Street, South Windsor, Connecticut sheet 5 of 10F dated 2-10-95 last
revised 10-4-95 and in ace=4ancs with the currant General and
COnctract;an Requiremsntls dated Ja narp 1.980,E attached;. with the following
stipulations:
1. NO Work that will iftftrfeze pith the flow of pouts 30 traffla viii be
pr_rnitted before 8:30 at.m. and after. 400 p.m., Monday 't~hru PridaY-
2. uniformed traffic control person(s) will be required for the above
work. '
3. Traffic control. personnel should fasilfazrize tbemosives with the
attached traffic- central patterura and the: attachad guide entitled
"Control of Yraffic through Warkazvaso, Stopl/33.0w padd3.es are
recommended.
CALL Before you DIG I....._...� TOLL FREE; STATEWIDE 1'-800=922=4455
Any and all liability for injury, damage or loss resulting from such work as may be undertaken under the terms of this permit is assumed by the
Permittee. The Permittee is hereby designated responsible for all future maintenance of all installations or encroachments constructed under this
Permit,which in the sole judgement of the State are not part of the highway appurtenances normally maintained by the State.
Permittee hereby agrees to indemnify and hold harmless the State of Connecticut for any and all such injury, damage, or loss that may be incurred,
either directly, as a result of said work, and to reimburse the Department of Transportation for any expenses incurred due to the performance of any
such work undertaken under the terms of this permit.
This permit is revocable at the discretion of the Department of Transportation Commissioner or his designated representative:JJA✓Ji
PERMITTEE'S SIGNATURE DATE i DEPARTMENT OF TRANSPORTATION
BUREAU OF HIGHWAYS
BY Victor J. LaBarre
DISTRICT MAINTENANCE MANAGER
a
/ South Windsor - Route 30
716 Deming Street
Permit Number 1-135508
B & M ENTERPRISES
October 10, 1995
Stipulations Continued:
4. The owner of the adjacent property MUST be informed 24 HOURS in
advance of excavation to be performed at their driveway.
5. The storing of pipe, excavated materials- or other construction materials
within the highway right-of-way will NOT be allowed. Equipment shall
be removed from the right-of-way when not in use.
6. Once started, construction shall continue until complete, including
final restoration.
7. No temporary pavement shall be placed to allow for traffic to compact
the fill. Should any temporary pavement settle it shall be replaced
at once so that an acceptable riding service will be maintained throughout
the site at ALL TIMES.
8. Requirements of this permit are subject to change as field conditions
warrant.
9. At the end of each work day all trenches will be backfilled (off road)
and patched (on road) .
INSPECTION REQUEST
t DATE-;OE BEQUEST"i �0l Z 4,171.T�
BY:
L24 FOR LOCATION: /�(ti t/� fiE}( SS< ( r � rfi9c x ;-�-- /
::"DAT INSPEC. NEED l t � �`l. TIME:
.TYPE OF "INSPECTION:
SIMITARTMA RX:- "PERMIT:NoA 6 3 FooTn :Da IN_:
C } � .. .
E=VATION._ E PMU= NO. ( ) OTHER
E
INSPEGTI�0N+"REPO ,
k DATE.:. fly` '�� �c _-,-f�-:> TIME: C- t '}' INSP:
f C�7NTRACTOR -t WMATUER .:-:
WORD• IN PROGRESS.: i 2' /,1
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AREA OF CONCERN: -�J !�".<.f� :1 L= ,jxV tJ`���ti�` ,. . i I v� ��J �;-c
72 l?, Gam'- f
tSPECIAL INSTRUCTIONS: