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Home My WebLink AboutDrain Layers Permit 101 Hillside Drive 6420 TOWN OF SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMTI' DATE: Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform work at ; 161 _ t ►1�e log , Lot#t g t as indicated below, at premises owned by u K�tV QjSh.+hose address is S�m 4P and occupancy or.use, with acres. Type of Sewage to be connected under this permit.• ANI RY SEWAG©t), INDUSTRIAL WASTES 01 OR O Connect►on will be made with !f f r:c o . All work to be in-accordance with Town of South Windsor standards, all OSHA requirements and the'conditions imicated on.the back of this permit. Proposed start date Estimated time for completion ,5 ,'33 Permit is to-be-issued to 3e`;,-H C3 i"n,1- pia Rom;. (1�the holder of Drain Layer's License No. 39 Only holders of Pl, P7 & W9 licenses wiU be issfied permit. Permit will expire thirty (30) days after date of issuance. The 7 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 Street Excavation Permit No. and/or ConnDOT Permit No. Signed '_ n C�orG Licensed Drain Layer FOR TOWN USE ONLY Permit Fee Paid$ �25� U (Check No.) ee c 6 U2 Y� N Con cdon Charge S (Receipt Nod.— Dated— Insurance on File A'/ ( 1 �e poa.r• Bond on File (tiI( 1 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. h:tertown Agreement ( J ( I Record of Sewer Assessment ( I ( 1 Issued by Date INSPECTION Date Work Started Date Completed ch/o-SG - -Comments f�oGtr — A-w ter-/fwD APPROVED: Inspector Date - SANITARY LATERAL & EXCAVATION PERMIT INSPECTION REQUEST --DATE OFtEQtIEST: c`h D� - 9'! TIME: s . BY: /Zorn 12,olv7L FOR LOCATION: DAY INS P.EC.';NEEDED ✓�-C7- g6 TIME:— 1 N? TYPE- OF 'INSPECTION ( ) SAXITARVLATE� f FERN17-Na. �Nzo } (.: } FOO:TiNG.. DRAIN;. . ( ) EXCAVATION (PERRM NO. ) ( } OTHER r INSPE-CT ON,,.REPOR.T DATE: c�=09-g6 c��- gG TIME: INSP: CONTRACTOR:. 7va i L:'� WEATFiE&: WORK-,'IN .PROGRESS... : /iC /L77�i•/G To T/fU� Co.✓T/ i��, % � �= /�1 A'4U �fz S?lLc-� f�`Y STA�i ]> ezi� TIfz� � a� 77/z= /{��fr 1�v 7-0i-is�z: .� Z� ?�rou�`yG T / f//lrl� A�� /NST/ -G`i✓L / Ile— 6411,9'1 Ala W/77, %/ _*z 5�3�l7 / �1 Cl. c a STbvUr (/ham &q7—/f-S r7e�cyo✓ 7v �F/z' �'r eo�� 64-A-1 /T /A Trn' /risi�9-G��-Try a� -T/ � G,/�� /-ram-• Tl1z' 1116 i iz� �Gz =�'c'� T�Z= FGu=x �r��i s �tT Ti►��' Zz%� /ten 7w �.y 2z t :. �/hs ✓v/Al I` � 'l�i/j-l�cJ SPECIAL INSTRUCTIONS: / l�iSGvSllsy f✓/Idi3�i-7Yj Gc�Tlf /��i=�, lfGr /A� � Tfli r -r.¢i��j' ��isfvTol . 7i�fL� � /AGE s/s"TS �� G��> l�vv ,�SiG�L� ay3��/�08 VNS%/3G�� y� PG�IL D��i��f �� ter j��>u'ou�.ris�v �i. %/y�7tli ,Sv�rtlf 1�N of /fG[- vl= T« �LLrS��•�t�t�rr��'