HomeMy WebLinkAboutDrain Layers Permit 54 Spinners Run TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT Nft 6304
19 ct5
_Pursuant to written application, permission is her by 'g anted to the
Licensed Drain Layer named herei to perform the work indicated below at
Q �'�__. �SAIN�i S �y 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 (101, PUC,
Show sketch of proposed wor furnish two (2) copies of separate drawings .
rj
OSHA REQUIREMENTS MUST BE FOLLOWED
SPECIAL CONDITIONS
Desired Starting Date 3-3r-IT Estimad Ti a /�f'or Completion
Permit to be issued to �j lt�J I✓
the holder of Drain Layer ' s License No . cJCi 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 N.o . And/or
CHD Permit No .
Signed
Lice sed a ayes
The above named Drain Layer has a valid license is by the State of
Connecticut and . has filed a satisfactory b nd and insurance policy in the
name of the Town of South Windsor :
4-19jl--
__?ffn_kinekVng Dept Date
Permit Fee Paid $ -F7 Check umber --- '
Connection Charge Receipt No. - Dated
Issued by
INSPECTION
Date work started Date completed -
Sufficient notification rece ve : Yes No
Special Conditions
APPROVED:
Inspector Date
1 SANITARY LATERAL & EXCAVATION PERMIT
r INSPECTION REQUEST
DATE OF REQUEST: -30'9�J TIME:
BY: FOR LOCATION:
DAY INSPEC. NEEDED Fj2/ 3 -3/-9S' TIME: lblw
TYPE OF INSPECTION: i� l��'
( pL ) SANITARY/LATERAL (PERMIT NO. ) ( ) FOOTING DRAIN
( ) EXCAVATION (PERMIT NO. ) ( } OTHER
INSPECTION REPORT
DATE: TIME: A/-L �S INSP:
CONTRACTOR: WEATHER: f�LG3 �i�irJ�
WORK IN PROGRESS: 7Z;2: ifs AL
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AREA OF CONCERN:
C ,eG,� iuoi a�—
fi¢5S'L'd w/Th` Mrs T��r/,Yc. %/�G� wt�G--� Q yL�i�cr�•�.s � � /{�ce� 'I,GiS
//W-��A✓, l /7"W 'c'o /2-L vr/�o 5iS F--
SPECIAL INSTRUCTIONS:
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P211
06�1 0 '95 16:06 ID:CALL BEFORE YOU DIG
FA7 =203- 8-6446 PAGE 1
1
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FC3:;C1+C l:E>`C" NO. .95132048 TIME. . 11 :59 DATE. .0::i3/:::30/95:i
TOWN. . . . . . . . . . . .::7OUT'H WINK:};:aOR GRID C:ODF::. .Ro4p3
ADDRESS . . . . . . S4 SPINNERS RUN Nf.:':f1REST ST RE:::ET� . L,AWRE::'NC:E:: RD
TYPE:: OF WORK. . . .E:::XC; TO RErPAIR/RC;PL..AC;E;. CLOGGED SEWER LINE
RE;MARKS. .WDRK:I:NG FROM STREET TO F••IC)USE. EMERGENCY.
CALLER. . . . . .PAT AC,LIECO ALTER. . . . . . .
aTAR'T DATE:,. . 03/91 START TIME. 9 AM
PHONE #. . . . .2 7-1917 CALL BACK. . .8-5s
CONTRACTOR. -ANGELIECO HOMES
ADDRE?:SS. . . . . 103 WYNDING EF2f. OK C;: RIV&ROCKY HIL..L,, ,C;T" 06067
EXCAVATOR C AVATOR DOING WORK . &C;L..AC.1GHC..,:FN CONSTRUCTION ON
Hour
07
r To
WHI E YOU WERE OUT
From
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Phone
Telephoned
Returned Call Please Call
Please See Me . Wilf Gall Again lmporfant
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Signed
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