HomeMy WebLinkAboutDrain Layers Permit 151 Heatherwood Driv i
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TOWN OF SOUTH WINDSOR
I DEPARTMENT OF PUBLIC WORKS
j BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 7'
August 26, 1994 19
Pursuant to written application, permission is hereby granted to the
Licensed Drain Layer named herein to perform the work indicated below at
Lot 66 (15IHeatherwood Drive) at premises owned by Dart Hill Realty ,
whose address is 658 E ington Road, South Windsor and=
j Lay Hoe Drain, Repair House Drain, Lay Main, Other ,
for J occupancy or use, with
Fami y n ts , w th acres . -- — - — - - -- - -
Type of Sewage to be connected under this permit : SANITARY SEWAGE
INDUSTRIAL WASTES ( ) , OR ( )
Connection will be made with
i Show sketch of proposed work or furnish 'two (2) copies of separate drawings .
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OSHA REQUIREMENTS MUST BE FOLLOWED
SPECIAL CONDITIONS
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Desired Starting Date Estimated Time for CompletionL.
Permit to be issued top,�vl
' ne holder of Drain Layer ' s License No. 2U2.V.3D • 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 .
-P I
Signed
I / License";Drain ayer
' The above named Drain Layer has a va license(.issue y the State of
Connecticut and has filed a satisfactory� bo'nd anAin ran policy in the
name of the Town of South Windsor:
(Engineer_ g Dept. Date
Permit Fee Paid $ G �w�Cr� Check \Number Z ��
Connection Charge Receipt No. t_CI , Dated
Issued by 1 �; GU /
j INSPECTION i
Date work started Date completed
Sufficient notification rece ve es No
RDecial Conditions
APPROVED:
Inspector Date
SANITARY LATERAL & EXCAVATION PERMIT
INSPECTION REQUEST
DATE OF REQUEST: TIME: �Gl%
BY: y FOR LOCATION:
DAY INSPEC. NEEDED �'O / — TIME:
TYPE OF INSPECTION:
( '�) SANITARY/LATERAL (PERMIT NO. / ) ( ) FOOTING DRAIN
( ) EXCAVATION (PERMIT NO. ) ( ) OTHER
INSPECTION REPORT
DATE: TIME: /?Ao? INSP:
CONTRACTOR:- /YID WEATHER:
WORK IN PROGRESS :
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS: