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Home My WebLink AboutDrain Layers Permit 11 Mountain View Roa Permit No. 7718 Town of South Windsor, CT Permit Date 03/18/2004 """"" Drain Layer Permit Expiration Date 04/17/2004 Descrip: pt Applicant LO: at",ion Name BARBER UTILITIES 1 L Q d ;;40 OUN1 N: 1TI$W RO Addr. P.O.BOX 331 Owner WESTBR'QQK THOMAS ELLINGTON CT 060 ,9 Phone No. (860) 872 2330;;:; The Drain Layer .asszgned,< this', xt has d<„ rizd licerises;sued by the state and hereby agrees to '; l the term's and'"dcsnflit�an� set .forth in the attached 'Conditions"' . A71 ;wcJchl 1t asx acar'clane v th Town of South Windsor standards, al"1 OSHA`Y@cui`Yemptlts and the attached conditions. Issued Byxxx r: Date Inspected ° — Ins'peoted' By Yu / 7 ' -7 71 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cr FEE $60.00 Location of proposed work: �l i /YtovviAJ,y- v,F- is o Lot # Street No. Street Name Premises owned by:__ LA4att,/ts WE s r ,,00/c e?72-233o Name of Firm: 8,449F2 c/22L-t 77,6-5 Z-4-c Phone: s o -�533 Address.of Firm: _35- LC TYPE OF WORK: Lay House Drainer Repair House Drain Lay Main ; Lay Laterar for Commercial/Industrial Building of acres Connection will be made with _M,410Ma I-E gooT Existing Water Supply: Public Water Well Proposed Start Date 3--i� Estimated time for completion W46 ALL WORK TO BE IN ACCORDANCE WITH-TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to W8b-P- v 17741177LS the holder of Drain Layer's License No. 27 0.3 S-9 Only holders of P-1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY(30)1DAYS AFTER DATE OF-ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth,in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. 16 g. Si ned: � g Print Name:_ Z4vl o A- Licensed Drain Layer Date:_ 3--t 7- a 9 Standard F&MAPermitsNAPPLICAITON FOR DRAIN LAYERS PERMrr.doc TOWN OF SOUTH WINDSOR SANITARY - SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 11 rhovwrt�,N v��uv STREET SUBDIVISION:+ N : NORTH ARROW 2 rT �G 3► 21 {Sr 18,E QO fAc US - 1-ffv;- s CONTRACTOR (PRINT) NAME OF ONTRACTOR'S SU RVISOR (PRINT) po Box 3 3 7 3- U-0-1 STREET ADDRESS Si RE F-u-IAJ IV GT OG�°i t c v DATE TOWN STATE ZIP IN PELTED BY TOWN c-q&o, 6 72- �33 0 _ DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER LEGAL SERVICES REQUEST FORM NAME: Ac� ad &o&ik DEPARTMENT: A-411 C �/O �k1 DATE OF REQUEST: �� 3-T, �57 REQUESTED DUE DATE: -S-epf. I G d Cep} APPROVED BY DEPARTMENT HEAD OR CHAIRPERSON: TYPE OF SERVICE REQUESTED: (Check Appropriate Box) Legal Opinion ❑ Review Contract or Other Document ❑ Litigation (Specify Document Below) ❑ Attend Meeting ❑ Prepare Contract or Other Document Other (Specify Document Below) (Specify Below) QUESTION TO BE ANSWERED OR SPECIFIC SERVICE REQUESTED: App,rjvJ 4 TevK p• Ccue.vKzkof liv dviv �a,� �u��vJef u�rcfti Vtew Ov . Q� pu,��z re3I.� - a-w� fa �uu. � e u,r d.�ccc� r ►'"-ems Ma. Ck vv-f. fi hq-f OLV e-u Al ea ICO 116 LV u f► &►r. p +v p � cu e c r.�► .�' FACTS: (Overview of Facts Surrounding Question Presented or Service Requested) DATE DATE RECEIVED: COMPLETED: COW N sf4 O x Y 111 - C J �'S19t� 6 'v' jajd4ot 1540 SULLIVAN AVENUE SOUTH WINDSO.R, CT 06074 �Osox-co TELEPHONE(860) 644-2511 January 9,2004 Mr.Thomas A.Westbrook 2401 Mill Pond Drive South Windsor,CT 06074 REVISED RE: 11 Mountain View Road South Windsor,CT Dear Mr.Westbrook: The South Windsor Water Pollution Control Authority,at its regular meeting of January 6,2004,gave approval for the connection to the Town's sewerage system of a residential building located at 11 Mountain View Rd.,South Windsor,CT,as more specifically.shown on plans entitled"Improvement Location Plan . for 11 Mountain View Road"prepared by Messier&Associates,Inc:..Project No.03-158,dated 11/2003, with no revisions,and subject to the following conditions: 1. Install clean-outs at 2 pipe bends .,2. Technical approval of the Town Engineering Department. 3. Final Authority approval and acceptance of the sanitary sewerage connection will be given once the sewer line has been installed and inspected by the Town staff,and based upon the written verification of the Townstaff-that.said sanitary sewer line was installed in substantial conformance with the-design plans previously approved by the Authority,and meeting all Town regulations and appropriate technical specifications relating to sanitary sewer construction. This,approval letter must be superimposed on the final approval plans. Very truly yours, Jo ph J.Canno,Chairman Water Pollution Control Authority JC:dd Cc: Matthew Galligan,Town Manager RECEIVED Michael J.Gantick,Director of Public Works Jeff Doolittle,,Town Engineer` Marcia Banach,Director of Planning APR 1 2005 Chris Dougan,Chief Building Inspector T:Scott Westbrook SOUTH ENWt EERING DEFT TOWN OF SOUTH WMT SOR WATER POLLUTION CONTROL AUTHORITY APPLICATION FORM Application No. Date Received Date Scheduled For Applicant ? qX- VL Address t Telephone No. - Owner of Record on Land Reco ds Owners Address &46 VN I « Property Description: Assessor's Map # Parcel # Vol. Page Project Title: InqULffihV1 ies to be ected to: (name, address, telephone no.) �- 11 yj u0 2d 43FL 9 Approvals Previously Received (Check) IWA P & Z ZBA Purpose of Application: (Check all that apply.) 1. Sewer Extension/Connection - Residential Use a. Subdivision b. Single Unit �i L c. Other —Main d. Type o Approval: Concept Final 2. Sewer Extension/Connection -- Industrial/Commercial User a. New Connection b. Request to Increase ow to c. Change in Nature of Waste Discharge d. Other Explain e. Type o Approval: Concept Final 3. Appeal of Sewer User Charge' 1 a. Residential b. IndustriaUC&m—m—e—rciiil 4. Sewer Assessment 4 NOV, 2 9 200, a. Establish Sewer Assessment b. Appeal of Sewer Assessment PWL,'"G WORKS c. Change.in Use of Property DEBT. 5. Regulatory Appeal ; Explain 6. Other Explain A ican s Signature Z Date Owners ignature Date (See Reverse Side for Application Submittal Procedures) 1wso1WTCA/opphcxwn 111261%