HomeMy WebLinkAboutDrain Layers Permit 8 Nutmeg Road (6) TOWN OF SOUTH W I N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT N2 5320
19±?
Pursuant to written application, permission is hereby granted t e Licensed Drain Layer
named herein to perform, the work indicated below at
at premises owned by whose address is
and to
Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use, with
Family Units, with acres.
Type of Sewage to be connected under this permit: SANITARY SEWAGE INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
SPECIAL CONDITIONS
Desired Starting Date Estimated Time for Completion
Permit to be issued to d!
the holder of Drain Layer's License No-: 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.
S igned,X
Licen ed Dr Layer
The above named Drain Layer has a valid license issued by the State of Connecticut and
has filed a satisfactory bond and insurance policy in the name of the Town of South Windsor:
�C�C// 6�--�0 'd�-9' (I'll 7 ADL/8?1�
Engineering Departm`enntt Date
L,
Connection Charge Paid 1 �leol o D Permit Fee: Paid $ /I
Check Number
C C Issued by
12 Tax Office
INSPECTION
Date work started Date completed
Sufficient notification received: Yes No
Special Conditions
PROPOSED ADDITION
wA '—� A =31,265 SF
0
H =62,530 SF (2 STORY)
zo FF 71.0
z Q
_ I a 71.01
CL
5 5 LA?
185 FL 65.25 71.04 71.03
PD PD
55�FY
r
C�
B B TF .6 EXISTING 68-- — — TF 67
63.9l 64. 0,== PAVEMENT '
1017. s�o�, EX/S T. 12 RC
TO BE
pop
RCP REING
/ 6q
ENT./EXIT TO R£,ldA:N B F6714 a ty/37 pQOA 63.3/ 8 =�Q TO CC OSED
/� 4
� -N �I 3 S C1JT-
SSMH
''F69./0 SSMH SSM=L 62.60 TF 68.93
�. FL 63.24 FL 6
N'NORARY 5' .E I T CONC WALK PI LASE 1
F T f PAVING PdC7I'
'I1l.e Wldisturbed existing
N T S. toved parking area in PM a: 1
sl.all be- over_layed with 1"
Bit. Cr`nc. Surface Course to
1
Construction Inspection Report
Project /S P a Z N° Date
Street AtL±x 4J J&tt�4 Developer
o
Weather _ Temp. aLtracto&-& Q[
Work in Progress
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Problem Areas
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Special Instructions/Orders
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Day f We k Time on Site n Inspector
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