HomeMy WebLinkAboutDrain Layers Permit 109 Quail Run f R.k.v. .._ -� ;.:., ., ..:.. ���E _ cr-i-, a'�rnar' '-`� .'•r.- par.�.^,,.r.
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 1110 5 6 9
V Qua ` 19�
Pursuant to written application, permission is here y granted theLicense Drain Layer
named herein to perform the work indicated below at la- t L X Gw"
at premises owned by �T - �j '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 K 1' INDUSTRIAL
WASTES ( ), OR ( ) Connection will be made with
Show sketch of proposed work or furnish two (2) copies of separate drawings.
d �
41
13
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'SPECIAL CONDITIONS
mV4e Gt 3cwi --
Desired Starting Date . �r- %/ Est#ated Time for Completion
Permit to be issued to
the holder of Drain Layer's Licdnse 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. ,
Signed
-� Licensed Drain 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:
Engineering Department Date
Connection Charge Paid 1c of Permit Fee: Paid
Check Number
Issued by Z�2
Tax Office
INSPECTION
Date work started �Z. ' ^C/ Date completed
Sufficient notification received: _ Yes No
Special Conditions
/v B APPROVED: AgwZ --
�� Inspector Date
C O N D I T I O N S
1. This permit is issued under the express condition that every person acting
under the same shall conform to the representations and conditions of the application
therefor and shall conform to and be governed by the ordinances and regulations
pertaining t the-Town of South Windsor including amendments, thereto, and
all other pe -- -rdinances, rules, and regulations of the
Town of Soul {ol Authority.
2. This pe I
3. This pi ty work being done under its
authority + iorized person.
4. This F acts in, upon or to private
property o The duty of obtaining such
consent ai , asts solely on the drain layer
and those f
5. This n any public street, highway or
grounds, If any obstruction therein.
Specific a the proper official"$aving
charge t d '
6. The je no• responsibility that any
represei were•'correct and assume no
-responsibility iuL ..._, 3t furnished,_
7. No p-v nr Annurtenance thereof may be cut into or connection made therewith,
or any der the direction of an Inspector
from th. rs notice must be given to the
Enginee eeded on the work. In general,
Inspect, 8:30 a.m. to 4:30 p.m. on
Mondays /
8. The / ime indemnify and save harmless
the Tow ` account of any and all claims,
damages es and compensation arising out
of inju S , leged to have been sustained by
the ser of the Drain Layer, any
contrac or material men, and from
injurie Id to have been sustained by
the put -k, or by any other person or
propert the Town), caused in whole or
in part er, any contractor employed
by him gone directly or indirectly
employe the performance of any work
coverer period specified in the
aforeme
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.
F