HomeMy WebLinkAboutDrain Layers Permit 36 Summit Drive F . ... ., ,+.._n.A--. .T.�..-.-�..,.<..-F..,... a,,+r•+sppmn.-,>..•.A..w+.mrc, . .
N^_ 6348
TOWN OF SOUTH WINDSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PER
MIT n �
-0ATE: C.� 45 /995
0
PUraeant to written eypNcarlen Permbsbn Ar n ygreened ro Me Lbansed Oren Lays nsmed herein w
pavAmmmek at O. �uHi�il D2dsf Lots/3 ssiMkered below, ,r
Prambes awned by whoss ode u,b /7f<!—E(L/.� a a'e' GP. . and
to tay House Oran Repay House Orem � Ley M+ln._r OMer_r for
occavemy muse, moot
rWe of Sewage w be connected urMa We perea: SANITARY 4NR4540 X,, INOUSTR/,1Le WASTES/1,
OR f/ ComsaPw wN/be made w/th & At, AN
work ro be in acead rwn wits Town of Sou MI Wm/soy araMeroY, 00" romriremenb and the owthfut ns
indbamd on the back of Mis parent
Proposedstatdero /t7 /�eB�AS�" csrim/a/red 6mne Rv mmPletlon z L(�E6C5
Pennb N; ro be issued ro f Pl, .�4" Moo11NSrW �vk tlm Imlder o/Oren L+NoWe License No.:.
4evn sAveZd�WY . onsI halos or PI, P] s wg Ircenae: w,NTuedPamlt. P n,R ww tfco Mary "t
days afrer demnf lesuame. The vnOerslgned Oran 4ya eprea+ ro ap dre eiW eonatiane sst
forN//n the permits Me reverse aide Mereo APMban has = Town Qvvation Perm;t Na.
_�/L enakv�ConnOOrP tNo. .
Sgned -
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FORTOWNcSEoNLY / �� / �
ParenrF Pai $ ZS � !Check No,t 4-944-
LI�..YY Connection Chaves @ e, tReceW Nal Demo'
Insurance on Hb �II
Sorts on File M ! I Thbpemntbhasbybsued to Ma aboreremMOmml+as wM hes+ vaNd
Scared lava/by Ms%m of Coma clout a M hw an Ra seI/sfeeLaY bond
in
7n= u0)ect ro / endhamenoam Me mares of Mp Town of9ouM Vlmdsa.
a Illvl
Reomdol Sewa '
Assessment / / / / IasuadbY Deb
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Date Work started /0 - /7- .Date COmPletea r0-/7- 9 °
Comments
APPROVED:
Inspector Data
ROAD l
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U ORAM
ARn1+re
0" CWMM BI"AY � \
RICH) C( WAY \
= 50.0 L '
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111 1
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FENC\RYIX
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SANITARY. LATERAL &.EXCAVATION PERMIT
INSPECTIONS REQUEST
3U
DATE E OP REOUESTpt�. . I��I�6/9f TIME: i !F�T'I
BY: �.w^ 1i q FOR LOCATION: >>��36� 3OOWwsakq _
- DAY INSPEC . NEEDED 1OI171'9S TIME:
1
TYPE OF INSPECTION: 1
-
( ✓/) EANIYmy1LATEEAL (PEEMP,NO. z( W ). ( . ):: FOOTING DRAIN:.::
( ) EXCAVATION. (PERMIT"NO. _) ( ) OTNEE
.. INSPECTION REPORT, , .
DATE.: 'd�O- I� �YS TIME: /P'GL INSP:
CONTRALTO¢: WEATHER: LLLow .
WORE IN PROGRESS: %Hf /5 ./- �iF 5L'wa'YZ- u�ii'A'
GGG-�N/ o-ry/7— Tom- 72�/f
AREA OF CONCERN:
SPECIAL INSTRUCTIONS: