HomeMy WebLinkAboutDrain Layers Permit 22 Sweet Meadow Driv \Permit No. 7490 Town Of South Windsor, CT
hermit Date 08/23/2002 Drain Layer Permit
Expiration Date 09/22/2002
Oescrip: INCL VERNON FEE 2146 , 84
Applicant % N S f Location
Name WILCOX , MICHAEL AGI �Ip, SWEET MEADOW DRIVE
Addr. EAGLE EARTHWORK S T PARING BUILDERS
101 N MOUNTAIN R
CANTON C
Phone No. (860 )693-2 ]
The Dr8he LayeY t h - license
set issued by hthe
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atate attached d hereby o all a a Nona set Torth in the
WindsorstandCondards ,
i q tNowta with Town of South
Windsor ecenaards , �" a tnaoned conditions.
Issued By G
Date Inspected �S oa ad By g .f kpz Z
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7490 Contractor WILCOX , MICHAEL (EAGLE )
Location "xE2-.SWaW`MEADOR BRIy..E. - Address EAGLE EARTHWORK SERV .
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON UH Q 014 N S eh No. (S60)693� 019
202
Date In6p Needed Aro �S,
Time IO:d Neetletl
Inspected By
O � H
Work 1n Progress11
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L400 !(l�
NOR - r�++i 01 Date OJT
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, C
FLEE $60.DD / p
Location of proposed work: = , &1641 024Gl0 Lot # /
Street No. / Street Name
Premises owned
!lby; ' n 6u �dw5
Name of Firm: i a5.�2. �a."7/i uyl�Mk_l.. Phone: LOZ
Address of Firm: �l)/ p6t I iUu M;l s3A
TYPE OF WORK:
Lay House Drain Y. Repair House Drain
Lay Main ; Lay Lateral for Commerdal/Industrial
Building of acres
rc
Connection will be made with l Pyc
Existing Water Supply: Public Water Well
Proposed Start Date Estimated time for completion ' 5—
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to /'piC(<Q e( W, (c0% the holder of Drain
Layer's license No. 219((6 . Only holders of PS or P7 licenses will be
issued a permit. PERMIT WILL EKPIRE 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 attached thereto. Applicant has received Town
Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. I/
Signed: �L" f7 Print Name_ILIM C( rw le OJZ
Licensed Drain Layer
Date: 8-:o?
semm�ro VwmiMWPr ncNa DMIN ureRs RERmrraoc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: // ZG -UZ
BUILDING ADDRESS : 0 9
STREET Me¢c%o�)
SUBDIVISION: 5[WP[r(" M �4c1o �
NORTH ARROW
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S1REEf ADDRESS SIGNATUREc,
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TOWN STATE ZIP INSPECTED BY TOWN
��-702- 7 BATE
TELEPHONE NUMBER
WERE - TOWN PINK - CONIRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 0` IIII °Z
BUILDING ADDRESS : - 4.c�r* 9
STREET : Swe6'�/✓IEdIDoW DR20E
SUBDIVISION: 5"rDNE C/{�5SiN'fj
NOUN ARROW
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CONTRACTOR (PI NWME OF CONTRACTOR'S SUPfRN50R (PAIND
STREET ADDRESS SICNAIURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER