HomeMy WebLinkAboutDrain Layers Permit 207 Farmstead Drive TOWN of SOUTH WINDSOR, PUBLIC WORKS DEPT. Priority
REQUESTfOR INVESTIGATION ❑ WORK REQUEST ❑ Date 11/28/88 No.
To Mike
(Individual, Division, Bureau, Department)
Requested by Joyce
Caller Mike Caron, 207 Farmstead Drive Address work (273-4683) Phone
Instructions On April 28, 1988 Mr. Caron was hooked up to the sewers by
Adam Wisnewski, inspected by the Town on 4/29/88. Over the weekend
Mr. Caron was raking his yard and fell into the septic hole. It is
now 3 ' wide, 4 ' deep. He feels it is a dangerous situation and he should
not nave to near Me expense ana nuraen or rTxing
REPORT help him to have Mr. Wisnewski fill in this hole??
Bureau Chief or
Date Completed /,LjOg �� Z-p S —� � Department Head
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT No, 5 0 7 9
Cy 6
Pursuant to written application, permission is hereby granted to the Licend Drain Layer
named herein to perform the work indicated below at a
at premises owned by G whose address is
and to
Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under his ermit: SANITARY SEWAGE (INDUSTRIAL
WASTES ( ), OR ( ) // C Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
4A
�G��Big✓'
j/
T
SPECIAL CONDITIONS
Desired Starting Date Estim ed Time for Completion
Permit to be issued to zl"
the holder of Drain Layer's License No.NL40 Permit W 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
Licensed Drain Layer
The above named Drain Layer has a valid license is y the State of Connecticut and
has filed a satisfactory bond and insurance policy in ame of the Town of South Windsor:
0 CIO
V�`J a 7 ��-o2C� ��7 Engineering cep rtment Date
Connection Charge Paid 441)e 4-1W Permit Fee: Paid $
f Check Number
Issued by
Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received. Yes No
Special Conditions
oe
APPR Z
Inspector e