HomeMy WebLinkAboutDrain Layers Permit 591 Ellington Road rw
\ W 63.066
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL -
DRAIN LAYER'S PERMIT
DATE:
Pursuant to written application, permission is hereb granted,tio the Licensed Drain Layer n med her in to
perform work at �9 i L�I �'s� P.0. .]G Noo Lot 0 as indicat d be%w,.at
premises owned by�w-& a F W whose address is 5'0u.f/J t4A sa z. G-r and
to Lay House-Drain , Repair House Drain , Lay Main. ; Other___, for
occupancy or use, with acres.
Type of Sewage to be connected under this permit. SANITARY SEWAGE( INDUSTRIAL WA p (1,
OR(J Connection will be made with l/ A#
work to be in accordance with Town of South Windsor standards, a//OSHA requirements and the conditions
indicated,on the back of this permit.
Proposed start.date 4 5 A Estimated time for completion
Permit is to be issued to �`.�. t�.(: `the holder of Drain Layer's License No.
c` 0-?5G . ;Only holders of P1, P7 & W9 licenses will be issued.permit; Permit wilfezoire thirty (301
days after date of issuance. The undersigned Drain Layer hereby agrees o // tpe terms and condXons set
forth in the permit and the reverse side thereof. App/Ic nt has receive .T n treat Excavation Permit No.
and/or ConnDOT Permit No, �U ld�
Signed
- Licensed Ora' rer
FOR TOWN USE Oft Y
Permit Fee Paid$ ZT-O C) (Check No.J
Y/N Connection Charge $ JV0tJ E (Receipt No.) Dated --•�
Insurance on File ( 1 ( J
Bond on File ( ( J 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 No,satisfactory bond
Premises subject to and insurance in the name of the Town of South Windsor.
Intertown Agreement ( I (llf
Record of Sewer /��
Assessment ( J ( J Issued by Date
-----INSPECTION -
Date Work Started ���- ` Date Completed l Z
Comments — ---=- ��_. - -----
APPROVED
Inspector Date
SANITARY LATERAL.& EXCAVATION PERMIT
INSPECTION REQUEST
DATE:OE'JRff IIEST-: TIME_:
gy; FOR LOCATION:
DAY' INSPEC.' NEEDED: TIME:
TYPE-" OF .T_NSPECTZCA-_-:
SANITARYtTiLTEE r PERKZT'NQ FQOTINCT_ D€RAI1�I
( ) EXCAVATION- (PERMIT.-NO. ) ( ) OTHER
INSPECTtOt+ REPOFUT.-
DATE-- TIME: INSP:
CONTRACTORI WEATHER
WORK IN ,PROGRESS:
ROA o
AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
SANITARY LATERAL& EXCAVATION PERMIT
INSPECTION REQUEST
DATE OE' .FFEQDEST: �/ ` '30 TIME.:
BY.: FOR LOCATION:
DAY INSP.EC.- NEEDED: TIME:
TYPE" OF- :INSPECTION..:_
G`_ ( SANITARTtLATEE= PEIfLT- RO: °fie �Co
} - ( 1 ( EQOTING: I}RAIN ";m.,.
( EXCAVATION" (PERMIT -NO. ). ( � OTHER
F;
u,
INSPECTIQN4-REPOPVT..:.
DATE,. " -� 7isf?(=-jy TIME: INSP:
CONTRA'CTOR: .': �� ---
�;,
WORK IN PROGRESS:- ""l 1•�2r G✓�-r'��y� Gtr�S � c>sN'�.� U
//V l�eGfi��r � J ✓ L
7? �
77 X_5 Gyo � c vrw /��' �a•�✓��
G/t-"
44� 3p a� t7�T�ei
7
AREA OF CONCERN: 6&�l
4
SPECIAL INSTRUCTIONS:
f s
V ` p,-w az.(
r Y1i��7 '95iC:30 ID:CALL BEFORE YOU DIG
FAX:203-243-6443 PAGE i
--!BEN -5G* ' A
-T6N 121-�UL*ULIELOC -W:3* _TSiW
LL-
REQUEST NO. . 954800121 TTME. . 09R02 DATE. . 11/27M
/9507 11/27/95 09r29 . 29
TOWN. . . . . . . . . . . .SOUTH WINDSOR GRID CODE. ,K04T?8
ADDRESS. . . . . . . . . 591 ELLINGTON RD
NEAREST STRFET. .PARK.VIEW DR
TYPE OF WORK. . . . INSTALL SANITARY SEWER
RFMARKS. .WORKING ST TO FRONT OF THE BLDG. AREA WILL BE MARKET]
CALLER. . . . . .MIKE COVENSKY ALTER_ - .
START DATE. . 11 /30 START TIME. . 730AM
PHONE # . . . . . 282T0526 CALL BACK. . .8-5
CONTRACTOR. -COVEN CONSTRUCTION CO
ADDRESS. . . , .F O BOX 511 , SOUTHWINDSOR, CT 06074
EXCAVATOR DOING WORK, - SAME
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