HomeMy WebLinkAboutDrain Layers Permit 56 Heatherwood Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT N2 6091
Pursuant to written„application, permissioit.ts hereby granted to the
License Drain Layer it qTed he ein to -perform the work indicated below t
p owned b�S at remi .. Y -
o s a s.i*s. a t o -
Lay House Drain, `:- i� rain, Lay MainOt% r
occApanc r use, with
' Famil - # it:h acr
Type of Sewage t s -._corm,_'lied under this permit : SANITARY. SEWAGE ,
INDU TRIAL WASTES
Conn tion will be made with
Phgw sketch of proposed work or furnish 'two (2) rcopies of separate drawings.
f OS REQUI EN S *UST LLO D WE ,
.- -S-P-EGIAL -CONDITIONS - -
De"'i, d Starting Date Estimated Time for C#mpletio` Y
'
4k ' } Permit: to be issued to -R .
s� the holder of Drain Layer's Z:'icen Na: 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 the reverse side
thereof. Applicant has received Town Permit No. and/or
CHD Permit No.
f
Signed `` e,
L fDense' a i n� yer
The above named Drain Layer has a valid license issued W the State of
Connecticut and has filed a satisfactory bond and insurance policy in the
name of the Town of South Windsor:
Engineering Dept . Date
Permit Fee Paid $ Z Check Number Z Z-3,
Connection Charge Receipt No. d=11 '7 Dated 2'
Issued by
INSPECTION Q ��
Date work started " 2_1 " Date completed 2 - `
Sufficient notif iclf o�ceea lv ; j No
Special Conditions
APPROV
ns ector Date
SANITARY LATERAL & EXCAVATION PERMIT
y
Q INSPECTION REQUEST
3 /DATE OF REQUEST: ` Z ' ¢ TIME:
r
'BY: FOR LOCATION:
DAY INSPEC. NEEDED 3 TIME:
TYPE OF INSPECTION: /� p
( SANITARY/LATERAL (PERMIT NO. 6 0 /� ) ( ) FOOTING DRAIN
( ) EXCAVATION (PERMIT NO. ) ( ) OTHER
INSPECTION REPORT
DATE: 2- TIME: ,',a INSP:
CONTRACTOR: Sj- WEATHER:
WORK IN PROGRESS: JL , -z6j
AREA OF CONCERN:
SPECIAL INSTRUCTIONS: