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Home My WebLink AboutDrain Layers Permit 145 Niederwerfer Roa (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No, 6650 Contractor SZEWCYK , PAUL Location 0145 NIEDERWERFER ROA Address 490 COLEMAN ROAD Type Work RPR SAN LAT ifIDCLFTOI^IN CT 06457 r ,Cine, w ..,,{860 ;347 02 Date Insp Needed �0 � Ind �8 Time I nsp Needed T , .me In J/00 /� -&1 I n s p e c Lad S y d` Work in Progress r Q � _ llq C f (Ilecl Date Permit• ;No. 6650 Town of South Windsor, CT Permit Date 07/.21 /1997 Drain. Layer Permit Expiration Date 08/20/1997 Descrip: LOT 16 EXTEi!7TO--., ';TERAL NO CONNECTION Applicant Location Name SZEWCYIC, FAUL Addr.. 0145 , NIEDERWERFER ROA Addr . 490 COLEMAN ROAD 0W' ei - CHA$E' ASSG{=AYES INC MIDDLETOWN CT '06457 Phone No . (860 )34'r -^502 The Drain Layer ass rg-na'd t�= s ,.bermit,� has a valid license issued by the state and hereby agrees to` ,.a.11., the::.t-erm , :and cok,,4[1,t ons set forth in the attached 'Conditions' A"l 1; 46rk 'WShaI 1 bo t6:.accprda.'6a w i th Town of South Windsor stalidards , all OSHA requi rements; a`nd.' lrhe attached conditions . Issued 8y ..x�� T7t1ey Date Inspected '711001?z � - v v� D�pe c t'e;d 3 y C O N D I T I O N S application 1. This permit is issued under the express condition that every person acting of the under the same shall conform to the reP res therefor and shall conform to and be governedations by theand ordinancesons and regulations pertaining to sewers of the Town of South Windsor including amendments. thereto. an all other pertinent pollutioneControl•Authorityand lations of the Town of South 2. This permit may be revoked at any time. 3. This permit shall be maintained at the site of any work being done under its authority and shall be shown upon request of any authorized person. LAWN/person. CROSS-COUNTRY PAVED AREAS 4. This permit does not authorize the doing of any acts in. upon or to private g TO►SOIL•SOD ON BCEO PAVEMENT PATCHING DETAIL NT propeReyandwithout complying consent thefconditfons thereof thereof. rests solelyfOnbthendrainulayer copse ■e. Qd h�Op. �b0 V� OROANIC EACH/Ill MATERIAL and those for whom he acts. .Q;,9'ho O'0. Ct:- • ►LACEDANOCOMPACTEDIN S. This permit does not authorize any excavation in any public street. highway or "� 000 b°�• ONE f00T II'IIMAx.I LI►T S. I ER CONN. grounds, or doing any work therein or the placing of any obstruction therein. WARNING TAPE PIER STATUTE SECTION 12"IMIN'1 T024 IMAKAS .PLACED 16 IABOVE Specific permission for such shall be obtained from the proper official hav ng I TOP OF PIPE. charge thereof. 6. The Town of South Windsor and its agents assume no responsibility that any ap:p�0• 0•000.0 representations !n the application for this permit were correct and assume no 0' ;qO� 0� 4dQ $AND BLANKET responsibility for any information furnished or not furnished. $$"MON. :." .`• �.. P1►E.AS SPECIFIED be cut into or connection made therewith. '•' 7. No sewer or appurtenance thereof may or any pipe laid. except in the presence of or under the direction of an Inspector ,:Pi a.. Eros the Engineering Department. At least 24 hours notice oust be given to the + $/4'BROKEN TRA►ROCK Engineering Department before such Inspector !s needed on the work. in general. �� ..�N f .�v m. on Inspectors will be available between the hours of 8:30 a.m. to 4:30 p. "Men .�•= I Ib�' .Mondays to Fridays inclusive. O.D. 8. The Drain Layer agrees that he shall at all time indemnify and save harmless �: •�n ': the Town and its officers, agents and servantso on account of any and all claims.tion arising out SECTION damages, losses, litigation, expenses. counsel fees and compensa N.T.S. of injuries (including death) sustained by. or alleged to have been sustained by the servants. employees or agents of the Town, or of the Drain Layer. any actor contractors employe(including by death) or any sustainedorrallegedrtoahaveabeenn. and from sustained by ludln on or t$T:ANDARD F SOUTH WINDSOR TYPICAL SANITARY SEWER injuries (inc g of b an other pets TRENCH SECTION j he work. y yTAIL ear C DEthe public. soy or all persons on or n property. real or personal (including property of the Town). caused !n whole or .�.�.• Otto In part by the acts or omissions of the Drain Layer. any contractor employed by his or any subcontractor or material man or anyone directly or indirectly employed by ytthenpermitor anyaof thenduri while engaged lncenancetperlod11 fsp cifiedance Einnthe work covered by aforementioned ordinance. 9. The Drain Layer and owner shall be responsible to see that only the type of wastes specifically permitted by this permit are allowed into the public sewer as a result of this permit. APPLICATION FOR DRAIN LAYERS PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE , SOUTH WINDSOR, CT FEE$25.00 Location of proposed work: l/ 06 Lot # Street No. Street flame w Premises owned by: �ljp5� 2 7 Name of Firm:VO4vG G S2P&VC?A P,Ie- --,C-,ZC Phone: Address of Firm: CC o TYPE OF WORK: Lay House Drain ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres L^X?Z- _ .(-�/�1- - -z- — �G ConJN�-�d Connection wilt be made with Proposed Start Date �"y5' Estimated time for completion 10.?f 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 AvC the holder of Drain layer's License No. p4 7 $/pl , Only holders of P1 P7 & W9 licenses will be issued a permit. 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 attached thereto. Applicant has received .Town Street Excavation Permit No. and/or ConnDOT Permit No. Signed: Print Name 14ft L• SZ GriG " License Drain Layer Date: 07