HomeMy WebLinkAboutDrain Layers Permit 31 Barbara Road 1300005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 04/03/2013 _
GIS ID: 07500031 FEE: 60.00
MUNIS APPLICATION# 201300345 „ EXPIRATION DATE: 05/03/2013
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APPLICANT ;, = LOCATION
NAME: WASTEWATER SER�IC� ,,NC", DRE 3��AR3ARA ROAD
ADDRESS: 100 B WINDERMERi RAI_l"Z RUBEN&STACY
ELLINGTON,CT 06(b, 1_
BAR4 RA RD
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4L WINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: NEW SE '
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THE DRAIN LAYER ASSIGNED TO THIS f R� FI 1S A �O� ISSU�I�$Y T lI STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTI11 TIE A ICH� �I'I'4NRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDA0�� l L QSHk�2EQ kiAj 0 Tif ATTACHED CONDITIONS.
ISSUED BY DA E INSPECTED INSPECTED BY
4/3/2013 2:53 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Z 00a05� CONTRACTOR: QS id�R
LOCATION:
TYPE OF WORK:- f ) S_uj-e . co-n o y�
DATE INSP NEEDED: DATE INSP: 4_Z3
INSPECTED BY: [ib
WORK IN
PROGRESS: �.�s /led C rs Pvc
/`ears r�� � � uS►`n�, G 5�5 K� Twc� �I� G ,,.-�-
- - • �s -l. i—t, E} P Vc—- SCE# �V U� .� �l►'y Cd. f i�.� .�N�rG'riiigiCA
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/y ' C' r+�51� � S�-��.�. F�ti -,'r T( 5�-�-id an 5eoel Tw4P�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED 2-Y"ES ❑ NO
AS-BUILT:
INPUT: ' DATE:
S/FORMSfrOWN OF SOUM WINDSOR INSPECTION
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
1540 SULI.IVAN AVENUE
PUBLIC WORKS DEPARTMENT
TOWN HALL
SOUTH WINDSOR,CT
FEE$60.00
.Location of proposed work: 3L F 1,e_ Lot#
Street No.
Street Name
Premises owned by:
Name of Firm. ws 5 wcc /C.,
5 Pt»llne.
Address of Film: /00e CJ;r,G/,1,,,1 t/r 'Alt- a Zs
TYPE OF WORK:
Lay House Drain-"- Repair House Drain� -
Lay Main - Lay Lateral for Commerdal/Industrial
Building of apes
Connection will be made with saR s 6"
Existing Water Supply: Public Water Well
Proposed Start Date k I Estimated time for completion 1 9),4r
ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA.REQUIREMENTS AND PONDTIIONS ATTACHED TO THE PERMIT
Permit is to be issued to i S�.,.
the holder of Dram
Layers License No �S y �• I Only hold .of P-1, P-7 or W 9 licenses
will be isst permit. PERMIT WILL EXPIRE THiklY(30)DAYS AFtER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terns
and conditions set forth,in the poriiit and attached thereto.. Applicant has received
Town Street Excavation Perml No. and/or ConnDOT Permit No.
r
CBYD No. 0611/9 a o PLEASE NOTE:
3�,3 IFA SANJTARYSEW,ER LATERAL
IS W1 THrN75 FEE T QFA WEL.Z
IrMVST BEAIR TESTED
Signed: Print Name: IN VY► )G ��N�S
Licens D air Layer
Date: y /3
Standard'Forms\Psrmits\APPLICATION FOR DRAIN LAYERS PERMr.doc
Septic Repair For: Ruben &Stacey Ramirez
31 Barbara Rd
South Windsor
Proposed: Connect the house sewer line to the Town sanitary sewer lateral using 6"sdr35 pvc. Crushed stone
will be 6" under the pipe and 6" of screened sand will be placed on top. Filter fabric and sewer tape will also
be on top of the sewer line.
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Designed By:Andrew Coleman 111113
TOWN OF SOUTH NINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: z� -
BUILDING ADDRESS
STREET 3�
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) / NAME OF CONY R' SUPE7 R RINT)
STREET ADDRESS, SIGNATURE
or—III? n DATE
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TOWN STATE ZIP INSPECTED BY TOWN
— `� r) z� 6 DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING .ENGINEER / DEVELOPER