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HomeMy WebLinkAboutDrain Layers Permit 66 Farmstead Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 7258 Contractor SKIPS SEPTIC Location 0066 FARMSTEAD DRIVE Address 27 MUDDY BROOK ROAD Type Work NEW SAN LAT ELLINGTON CT 06029 Phone No. (860)875-2332 Date Insp Needed 'Z bat eIsp �, / ,s���✓fir- —� i Time Insp Needed T7me =ln.sp„ Inspected By AL �'jGld'r✓✓,.r, f ,3 O �./`"'� �'d,/�G6�ar� G✓I�'W L /G'�/T — �/./�, I Work in Progress 6d/�'7_ d� Z/% 1q c hi rU , r►- !E'e3 ` �1. i 1 r-- • Input Date 4h 476 Town of South Windsor , CT Dermft No. 7258 Drain Layer Permit Permj, _ Date 04/09/2001 -t Expi`f icon Date 05/09/2001 Descrip: Applicant Location Name SKIPS SEPTIC Addr: 0066 FARMSTEAD DRIVE . Addr. 27 MUDDY BROOK ROADOwt�er DYKE THERESA A ,f ELLINGTON CT 46Q9 Phone No. (860)875-2332 y The Drain Layer aesigned° th1 pem�t ? ` - � License issued by the state and hereby agrae� tx �1 th8 ,-t #�na, ands ©t't a dohs set forth i n the attached 'Cond i t i ons�; _ A4 W'at"kMa 'l be ;i n accordanci with Town of South Windsor standards, al =�qu��"�tn : and this attached l, Q IA conditions. Issued By )acted By, Date Inspected — � ,t* a APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: RJU 67-Ft 9-i� -At Lot # Street No. Street Name Premises owned by: 7NEX rsd kYki-' Name of Firm: cS4105 SEP77C 6r?ry&C C Phone: g75'2332_ Address of Firm: 27 M u 0DY cR/Zodk It D iF/I4_1A/c�z&L TYPE OF WORK: Lay House Drain >C ; Repair House Drain ; Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with & PYc_ Existing Water Supply: Public Water Well Proposed Start Date -/-o( Estimated time for completion 4-12 -o ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to _f"4 44if1-kER- the holder of Drain Layer's License No. go 7,7 z ir . Only holders of P1 or P7 Licenses will be issued a permit. 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 attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. .2 o®l /Sd o '1o6 . Signed. w—� Print Name: )y �kF/Z- Licensed Drain Laye Date: �-' - 9-4/ Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc y - TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS FAgMTW De- STREET SUBDIVISION: NORTH ARROW LA - i 7 I I . i 1 ' � 1 1 3 t i 4 r , : i t , , , i . r , , r i j ---------- FA, V"1 i i SKIPS SVQICc TW . 0jtC,-jAgL � �K CONTRACTOR (PRINT) NAME OF CO RAC R' SUPERVISOR (PRINT) r- 9 i rev STREET ADDRESS SIGNATURE c L�-t lj G-Ti b N CT_ o&op cl o f DATE TOWN STATE ZIP INSPECTED BY TOWN it- %0- DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER To help locate your sewer connection on the main line, please shove where you would like the connection by drawing a Iine From the house or the septic tank to the main tine in the street. Also, install stake in yard to indicate line as shown'on sketch. IF.you have any doubt please contact the Town Engineering Department. Please draw important in Formation such as driveways, large trees and other obstructions PLEASE MAIL THIS FORM IMMEDIATELY TO. JAMES S. MINGES & ASSOC. , INC. The Exchange Farmington Avenue Farmington, Connecticut 06032 10 tl ► i ; •L �t t i I t ff r - '1