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HomeMy WebLinkAboutDrain Layers Permit 134 Heatherwood Driv ak �� �; x 25` veep �, of o, THIS PROPERTY►SAY BE SUBE-Cl ,49, TO VARIOUS WrILITY EASBAEt $ ; _ •' v 4e9 a/� W f J .f'kj.ou v+ C.c d • 9i•�-a i, - °p,/ W r ► ' /. .41 / y. IS, - JMJ Construction Coo}�ta►ny ! . t �, �' 658 9-1 1 In ig ta'n R6*d„I South Windsor, CT 06074 282-0628 oz- 3� Lam'. t_I1J�.� F'i2.C�M Mh.P O W FI l.E. TITL E� " CC�,.I�T��C"'f'►C3t,,1 PAS E ' A03 U MP IVi a ION —R R Z.©t+l E PLOT PLAN y FdE2 D ►12"T HILL Ty, JwC gauTN NuwaieoFe. c NN, 'DART HILL , ESTATE S CaL.A ?QN 8I112Y� GVNr.t. 45"LF- P R E P A R E D F 0` R ►a g1 M,a,p too: 9ry-ate• I L : H 1 t,..t.,: R E A !. T Y` � t N. C DART , . S 0 U,T H W 1.N D S -OR , C 0 N N. :�''E . - . t�EU; ?►."°�-�3ta C,t�pr.�.«Cl�,"C app�0 .. 1 Aeseity,'daciarair'Rt�1tr tt�r.�:' .. . :ya;+.t, a t► eo rrteL: ' RE11�0`" .E .<.:HYYPPA,- 01 ASSOCIATES 11!• boue�drry ,irt/d�sy 'was.pr.eps,=od A itcacrQsrics *ltis i"► stand*�ls'ct 's Gi*ss-"A 2 suiri�Ey,' l. d.il1_e+. :.�w:.lp+ "Nees- CIVIC ENtiitlrft$, 8 LAND SURVEYORS eonded Sis�itsrld ras,.�#ra:pa a►aa ftlit xn--tt4—!9tstri et t24 -t#EBR43N AVENUE., CgnnbiCtt'C1tt"';'i prtd .ii► i►d+�t►Red �4" Gat+ne�tlbt : oatR010» of it►�s vaevsi►e to axe«. apt .b.,r 'sa, isia►, Gl:ASTQM@CiRY : CQNN 060 3 " f203) 633.-'SatB b N SANITARY LATERAL & EXCAVATION PERMIT INSPECTION REQUEST DATE OF REQUEST: TIME: FOR LOCATION: DAY INSPEC . NEEDED TYPE OF INSPECTION: ( SANITARY/LATERAL (PERMIT NO. ,---/_3/ ) ( ) FOOTING DRAIN ( ) EXCAVATION (PERMIT NO. ) ( ) OTHER INSPECTION REPORT DATE: TIME: INSP: 1r,. �c -t✓ CONTRACTOR: WEATHER: WORK IN PROGRESS : li AREA OF CONCERN: SPECIAL INSTRUCTIONS: $ " 6431 TOWN OF SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS .BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT DATE:- -`/7-q6 Pursuant to written a plicad permissio is hereby granted to the Licensed Drain Layer named herein to perform work at / t/ Lot# 7 S" as indicated b/ low, at premises owned by whose address is 6S >l r/ and to Lay House Drain Repair House Drain , Lay Main , Other -, for occupancy or use, with acres. Type of Sewage to be connectedounder this permit. SANITARY SEWAGE 1, 1NDUSTRIAL WASTES !1, ,OR{ Connection tivi/I be made.with D l� -3 S All work to be in accordance with Town of South Windsor standards, al/OSHA requirements and the conditions indicated on the back of this permit. Proposed start date 407 Estimated time for completion Permit is -to be issued to J!Z11 7ol the holder of Drain Layer's License No.. Jogs 3.0 Only holders of P1, P7 & W9 lic nses will be issued permit: Permit will expire thirty 301' days after date W 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 To n Street Excavation Permit No. and/or ConnDOT Permit No. Signed (2, 1, " ..Lice ed D i Layer FOR TOWN USE ONLY / Permit Fee Paid$ Zs-. n-a (Check No.) i�Z 3 9 f 6Z.>.AC) Y N Connection Charge $ ,wo®o (Receipt No.) ems/ Dated s i7 Insurance on File Bond on File (41O 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 file, satisfactory bond Premises subject to and insurance in the name of the Town of South Windsor. Intertown Agreement ! 1 ( I Record of Sewer Assessment O ( 1 - Issued by /'� Date 9e INSPECTION Date Work Started .� ©�s� Date Completed C/g:;,/ Comments APPROVED: Inspe or Date