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HomeMy WebLinkAboutDrain Layers Permits 338 Deming Street 1700069 TOWN 0F _S0UTH WINDS (ZR;CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 11/27/2017 GIS ID:27600338 FEE: 80.00 MUNIS APPLICATION# 201701683 EXPIRATION DATE: 12/27/2017 A.4..r` 41 APPLICANT LOCATION NAME: EAGLE EARTHWORK SRC ADDRESS38 DEIVIING STREET ADDRESS: 101 N MOUNTAIN IxOD 1 OWNER LA1;SE1 SUE W CANTON,CT 06013 _ , . 0 DEMING ST Of S©UCHVINDSOR,CT 06074 2 PHONE 860 693�'202,7 r, WORK DESCRIPTION: NEWSLWE2 CONJTION THE DRAIN LAYER ASSIGNED TO THISPEVII I'HAS A dAI.ID LICENSE ESSU !THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORT m HE ATTACHED`COwl TONS',A<I.tL WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARI?S`,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS. Lx—h- ISSUED BY DA E INSPECTED INSPECTED BY I 1/27/2017 2;50 PM 5 �� A rt :` 4 x, 1f Si Zooms i '' 4_i- - �`• S x 9 02,1 Yam' ev , � L - . r 7 4 j L ', C'.:k Vr `�Y V TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 7©�®� CONTRACTOR: Ie �rTh��Y�C LOCATION: 5 V'Cel TYPE OF WORK:_ /V rW >e wP C C ►� -_ DATE INSP NEEDED: DATE INSP: /�Z 8' 17 INSPECTED BY: WORK IN PROGRESS: 'ih -r SEPTIC TANK PUMPED SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: - DATE: S/molloy/forms 2014 Town of South Windsor INPSELMON REPORT 14 APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR - -- -- -- - PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $80.00 Location of proposed work: �t `<2 +R D Lot # Street No. Street Nc4me Premises owned by: JAI] ;fer Name of Firm: &K�1 Phone: 90-6 V--2-0 7 Address of Firm:_ I ',f TYPE OF WORK: Lay House Drain , Repair House Drain ; Lay Lateral for building with connection ; or no connection ; Lay Main Lay Lateral for Commercial/Industrial Building number of acres Connection will be made with t Existing Water Supply: Public Water_ Well Proposed Start Date /�/ ' r 7 Estimated time for completion 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 x 1�c bi k Cn the holder of Drain Layer's License No. Ll Only holders of P 1, P-7 or W-9 licenses will be issued a permit. PERMIT WILL EXPIRE 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. 7 d J I -2 PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED Signed: �� I Name:_ �` aa�l ,r�C Licensed Drain Layer Date: 1 i—A 7-1 -7 Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 2017.doc i W 5 90.4 8 D.00' 150.00 ' 140.51 3 w w cl _ rn o 000 SF. 0 30,000 S. F. �' 0 3010 ;� 0 M o to 0 to o ° N �50 N zo' ao' AMANHOLE SAN, SEA >8-8il 209.25 14;S SERVICE Y � BRANCH INV. �� INV. 2l7•' 6 STUB N a S TA 12�85 F.L.=214. I t INV. 217. 296 `8" PVC. SAN. '��� 50.00' �2 150.00' 1 741.58 6 SERVICE "Y" BRANCH STA 12+08 F.L.= 212.0 t ..� N/ F G1�AF,�DWSK! ANNA T. N/1' PETERSEN A LBERT C. & RU'TH L . i ,/ W CJif Er BOYSENBERRY LA � �9� `� H:S 32s WENTWORTH M �. PARK Dye( ems:. 63 Y ( H5 327C�, BERRY PATCH W5-328 Be o sall129 E B5� �� �pM Myp \.yry6•y, ,� H5-330� 325: 66 ry 4 4 "ro H5--326 44 8 8 8 spa s \ L7FM/ c �10L RY LA 4 106 � TER 35 44 fl DEMINb ST B A. Sjf pR+V ° . 06 00 Lu 1 -5 o.` 35 a r hz . h *lAft 4 ; R H5-230 H-501 H5-231 H5-292 �G 1109 34 BB e s }' H5-232 (Be ; '? s; DEMING HILL ESTATES H5-295 s s,�9 •� . H5— m°fo 247 � H5-236 S H5-235 ;`hh H!:"2371k ice/ a,/ un ti�� I Be TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: l -7 BUILDING ADDRESS M L(h( STREET 7� SUBDIVISION: NORTH AR OW �-H6 _74- - I -44 6 Its, all L-J -j luor/c f-� 4), le o Y, CONTRACT R (PRINT) NAME OF ONTRACTOR'S SUPERVISOR (PRINT) lot A)d rA if R 'b. STREET ADDRESS jC SIGNATURE l f , �n �t1 - l �`�! r `�.� cJ�✓ 1. .,� ' DATE TQWN STATE ZIP INSPECTED BY TOWN 9-®91-7 DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER