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HomeMy WebLinkAboutDrain Layers Permit 118 Spinners Run TOWN OF SOUTH Wi N DSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT N 2 6057 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at z6-?-*/1 NN6(?.S _QlLat premises owned by AL�X J I�1�N �/ -zI A-Am whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other , for 74 occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: '! SANITARY SEWAGE , INDUSTRIAL WASTES ( ) , OR ( ) - - vv-- Connection will be made with ('.? S 1 P,69-, Show sketch of proposed work or furnish 'two (2) copies of separate drawings. SPECIAL CONDITIONS OSHA REQUIREMENTS MUST BE FOLLOWED Desired Starting Date Estimated Time for Completion Permit, to be issued t 4A=A �'77faCa /VC__ n the holder of. Drain Layer's License No.a� / Permit will Aire thirty (30) days after date of issuance. The undersigned Drain Layer hereby agree$ 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. r , Signed Licensed rain Layer The above named Drain Layer has a valid 4 i cense 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 Dept. Date Permit Fee Paid $ n��J�. C�C� Check Number I Lfy:5- Connection Charge Receipt No. Dated /C"—)— Issued by INSPECTION Q Date work started Z, r T / Date completed / Z_ -} _ Sufficient notificatlon rece ve : _-----Tea No Special Conditions APPROVED• f 2 -e Inspector Date 1 r ► �Ire � + t I Iig a x+w. H aY 4 01 CPA, 1W_ aF �i.C, )INSTALL efji;X .VALV 1 Ax FcwnipArlonl P5 d ` 1 zzLO a' , � � I i S't8"- 1�'- 33 W �,299.o t i �� t 20 DRAINAGE , 3' xx 6ax C� V G-RC --� `2 2�L t fc.SMZ. l►J�AvotZ r PERMIT PLAN LOT "11 - SPIIliv1;RS ESTATES NOTICE PREPARED FOR ALEX and NANCY DZIAMA Reproductions of this plan are invalid if they Ck 114,Green Manor Road, Manchester, Ct. Tel: 649-7455 �0t Dear the impression seat of ttie undersigned T04' OF SOUTH" OR, CONNECTICUT tsn0 iwwwor anchor Professional Engineer. S V = 40' I hereby Aare tha this map and survey were prepared in accordance with the standards of a ._. Class A= ''survey as defined in the Code of Practice for Standards of Accuracy of Surveys and Maps, adopted bepember 10 1975 as amended by the Connecticut Association of Land Surveyors, Inc. } DATE i June 73. 1993 r I:v, . 9-1(� -9� L.S. 10839 P.E. #08602 t � kEFERFNCF: „Plot Plan Spinner's Estates Subdivision Lawrence Road South Windsor, Connecticut _ SANITARY LATERAL & EXCAVATION PERMIT INSPECTION REQUEST DATE OF REQUEST: '\2 -o —q3 TIME: r-,\ BY: \,��� \d�� FOR LOCATION: t-c)+ [l gp�nV,e�S �� DAY INSPEC. NEEDED 12� O r lz�2- TIME: - ' 3 O ��es� 7- TYPE OF INSPECTION: ( 6P ) SANITARY/LATERAL (PERMIT NO. FOOTING DRAIN ( ) EXCAVATION (PERMIT NO. ) ( } OTHER �3r-S-q3 9,-00AMNSPECTION REPORT DATE: 12. " �- 9 TIME: /�;per, _ 3; O© INSP: CONTRACTOR: " WEATHER: sp a WORK IN PROGRESS: .c... Zo 9 �0o tz� , /4 ' � )dze. L�sch Xje&gtl 'JA of AREA OF CONCERN: �Q 30 64 . 7-L23 C aw4K p / Z f U or s SPECIAL INSTRUCTIONS: