HomeMy WebLinkAboutStreet Cut public utility 1 Tumble Brook 1000001 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER _ STREET CUT PUBLIC UTILITY
DATE: 01/07/10
GIS ID: 90600001 ik
MUNIS APPLICATION# 201000009 � FEE: 00
s TION DATE:
APPLICAN %,VA
LOCATION
NAME: CONNECTICUT IN p y
ADDRESS: 25 NORTH ROAD S 1 UMB BROOK DRIVE
EAST WINDSOR,CT R WIGHT T&PAULINE L
qy : 1E BROOK DRIV
PHONE 860-623-3355 �- %� s
O-VTH WINDSOR,CT 06074
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WORK DESCRIPTION: EXCA O
APPLICANT AGREES TO FURNISH THE TO re
THE TOWN OF SOUTH WINDSOR FOR ANY NFND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE
IORd AINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OF S j
r9 IT , LL ABIDE BY THE RULES AND REGULATIONS
I C� PS
U�I IT MANUAL
ISSUED BYE =�
DATE INSPECTED INSPECTED BY
1/7/20109:25AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /000 62 / CONTRACTOR: C W C
LOCATION: _ r' TU m e &00Jc bi .
TYPE OF WORK: ,`-eta c n
DATE INSP NEEDED: DATE INSP: t
INSPECTED BY:
WORK IN
PROGRESS:_ Cc-_t �✓l �
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ N0
AS-BUILT:
INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
Jan. 6, 2010 3. 18PM CT Water Northern Region No. 4131 P. 1--
Post-Ir Fax Note 7671 uale 6 !d paged
To from NI Lam, ;EFT EXCAVATION. PERMIT
CoJDepl. Jk)MfAfOX co. Cw� SOUTH WINDSOR Permit No.
Phone# Phone/i )RKS DEPARTMENT
DWN HAIL
Fax# - 72,9D Fax* ILLIVAN AVENUE
*bSOR, CT 06074
FEE $25.00
Name of Firm twee e".r GJia►"rR G,, Phone No. 6-0 7-y; 3 355 x 3309
Address of Rlrrrt ?� Al, —
Location of proposed wo �, a
Describe fully nature of permit requests rr rra p 2 0 /Jz JN ,Q c
Starting
date—Approx.time for completion p oa
Cali Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or famish ThIs two copies of separate drawing Indicate North section a fll out b
w Town of South"Windsor
Pavetltent cut
• � No,Aube
Est:Size of Perm.Patch(s)
• "/ Est.Pvt,Thickness��In.
Est Unit Price 3
AmL of Deposit$
uTotal Due by
( )Cash{ )Check#
.K _
Permanent Patch
No. Cuts
Size of Patch($).
• Flnai Billing
AmL Due Payee
r 5 Amt.Due Town
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1 u.�-tcs o oK By
AP licant Is responsible for contactling Ni
the Po ice Dept and C,B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF 13OND•REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TWAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND F2EQULATIONS FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSORIS STREET CUT PER7014
MANUAL.
Signed• l�
(� Date
Title: �J vie �rdd2 _ Ddvers License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL,TIMES
Drabek, Bernard
From: Cal[Center@CBYD2.com
Posted At: Monday, January 04,2010 11:54 AM
Conversation: Locate Request-20100200241
Posted To: CBYD
Subject: Locate Request-20100200241
(CALL BEFORE YOU DIG — CT) 01/04/2010 11:53:39
—5G —Cl —CW —GV
—OT 2—SW SWINDS —T5
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***** EMERGENCY *****
TIME. .11:53 DATE. .01/04/2010
REQUEST NO. . .20100200241
LATITUDE. .41.8448273 LONGITUDE. .-72.5243337
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .1
STREET. . . .TUMBLEBROOK DR
a
NEAREST
CROSS STREET. .FAIRVIEW DR
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TYPE OF WORK. . . . .EXC TO REPAIR BROKEN WTR MAIN
AREA IS MARKED. . .YES
REMARKS:
WORKING IN THE RD IN THE FRONT OF THE PROP CREW EN RTE
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START DATE. . . . . .01/04/2010 START TIME. .11:52
CALLER. . . . . . . . . .PAUL LOWRY = - vi
CALL BACK. . . . . . .8-4:30 ®
PHONE #. . . . . . . . .860-944-9655CELL
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .860-623-3355
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .CONNECTICUT WATER CO
ADDRESS. . . . . . . . .25 NORTH RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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EXCAVATOR DOING WORK. .SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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CONNECTICUT WATER COMPANY
EARLY WARNING AND EMERGENCY RESPONSE NOTIFICATION
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To be used for early warning notification,to report an interruption of service or other emergency in the Regions.
Distribute to: P.M.Corbett,Central Customer Service,C. S.Gaudino(spills only),M.B.Ingarra,J.J.Keefe,R.J.
Kempain,E.J.King,T.R.Marston,D.J.Meaney,A.J.O'Neill,T.P.O'Neill,C.J.Patla,D.L.
Radka,K.T.Walsh,P.B.Ranslow,R.M.Reynolds,M.J. Stosse, E.W.Thornburg,M.P.Westbrook,
C.Bokus,Y.Roziak
Completed by: Paul Lowry
Date of Incident: January 4, 2010 Time: 11:45am
Region: Northern System: Western
Street: Tumblebrook Drive Town: South Windsor
Nature of Emergency and Response Actions:
The Field Services department will be shutting down the 8"water main on Tumblebrook Drive
to repair an emergency main break.
Estimated Lost Water(Gallons): 15000
Service Interruption: 12pm—approx. 5pm
Duration: 2—6 hours
Number of Customers Affected: Approx. 10
Street(s)or Area Affected: Tumblebrook Drive,Fairview Drive
Outside Contacts by Region Office(as necessary): Indicate name of contract and any notes.
❑ Clinton Office/Customer Service
❑ Town CEO(s)Town Manager
❑ Public Works Director/Town Engineer
® Public Safety -Dispatch,Police.Fire
❑ Local Health Deoartments
❑ DEP Spill Unit(860-424-3338)
® State Health Department: Normal Business Hours: 860-509-7333 Outside Business Hours: 860-509-8000
(includes weekends and Holidays) michael.hage@ct.gov,david.cooley@ct.gov, Thomas.ch rraaCcr�,ct. og_v
® DPUC Engineering_(860-827-2600) alan.bouchard@po.state.ct.us,james.vocolinanno.state.ct.us,
❑ DPUC Consumer Services(860-827-2935)
❑ DPUC Water Unit(860-827-2600)
❑ OCC(860-827-2929)
Outside Contacts or Follow Up from Clinton(as necessary):
❑ DPH ❑ Local Health ❑ Direct Customer Notice ❑ DEP
❑ DPUC ❑ School Supt. ❑ Central Customer Service
❑ OCC ❑ Media ❑ PSL Customers.
(Note: to checkmark a box,highlight the box,double click and select"checked"from the pop up screen.).
Updated 2/02/09-CB