HomeMy WebLinkAboutDrain Layers Permit 25 Grandview Terrace TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT N-0 6058
a 5 . 4A U December 6, 1993
Pursuant to written application,
pP , permission is hereby granted to the
Licensed Drain Layer famed herein to perform the work indicated below at
Lot 1 Grandview Estates at premises owned by RSK Kellco
whose address is 1750 E ngtori Road, South Windsor, CT
Lay House Drain, X Repair House Drain, Lay Main, Oth and to
for er occupancy or use, with --�
Family Units, with acres.
. Type of Sewage to be connected under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with
Show sketch of proposed work or furnish 'two (2) copies of separate drawings.
av'C- crjfA/U,cr1UIli
SPECIAL CONDITIONS OSHA REQUIREMENTS MUST BE FOLLOWED
Desired Starting Date lo'2 -oy- 9. Estimated Time for Completion
Permit to be issued tof.
the holder of Drain Layer's License No. QFd7a5'2 . permit will expire thirty
(30) days after date of issuance. The undersigned Drain Layer hereby agrees
to all the terms and conditions set . forth - the permit and the reverse side
thereof. Applicant has received Town Permit�10. and/o _
CHD Permit No.
Signed
Licensed Drain Layer
The above named Drain Layer has a v d license issued by the State of
Connecticut and has filed a satisfactory bo d and ins ranee policy in the
name of the Town of South Windsor:
( n ineo �g Dept. Date
Permit Fee Paid $_,,, - Chec umber
Connection Charge Receipt No. <�"
(Dated 1
Issued by 7
INSPECTION 1
Date work started Date completed
Sufficient notification e ve
es No
Special Conditions
APPROVED;
Inspector Date
SANITARY LATERAL & EXCAVATION PERMIT
INSPECTION REQUEST
DATE OF REQUEST: TIME: 9 .P 00
BY:--- FOR LOCATION:ay__!! 1 YA
DAY INS EC. NEEDED ! Z -9 2_ TIME: o
TYPE OF INSPECTION:
( SANITARY/LATERAL (PERMIT NO. � ) ( ) FOOTING DRAIN
( ) EXCAVATION (PERMIT NO. ) ( ) OTHER
INSPECTION REPORT
DATE: 2 -QI - 9 72 TIME: C-) INSP
CONTRACTOR: Aal WEATHER: A., `
WORK IN PROGRESS:
k '
AREA OF CONCERN:
SPECIAL INSTRUCTIONS: