HomeMy WebLinkAboutDrain Layers Permits 87 Kelly Road 1800031 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 05/11/2018
GIS ID:49500087 FEE: 80.00
MUNIS APPLICATION# 201800661 EXPIRATION DATE: 06/10/2018
APPLICANT 4._.`tfk LOCATION
NAME: WASTEWATER SEROVICE Sib B -87`KEMY ROAD
ADDRESS: 21 COURTNEY DRIy " _`. 'VS7NgI3 �WATpS SCOTT A&KIMBERLY K
ELLINGTON,CT OFpt T 7�KELLY ROAD
S�?I7l WINDSOR,CT 06074
PHONE fi Fike
WORK DESCRIPTION: NEW SWlsI C] CTION '
THE DRAIN LAYER ASSIGNED TO THIS E1 tIIT HA5 A UAT ID L NS ISSUED B'%M STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR H`1 1THE ITT, C D` QNI7TTLQNS',;AI.L> WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDATW ALI,OSHA'REQIIIREMENTS,AND t,Hl;ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
5/11/2018 11:05 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.. ' r: CONTRACTOR. -S
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LOCATION:
' a
TYPE OF WORK:
DATE INSP NEEDED; DATE INSP:
INSPECTED BY:
WORK IN 8.
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PROGRESS: _
411('t'' U �il�n4���(G. oLt r AV- .-I
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SEPTIC TANK PUMPED, SMASHEDr FILLED-' WITNESSED []'YES ❑ NO
AS-BUILT: .
INPUT: DATE: 3
5/m6lloy(forms 2014 Town of South Windsor INPStnON RETORT 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: � K e 11 z� Lot #
Street No. Street Name
Premises owned by: ' n /.� ,rr-s
Name of Firm: C, C°nsWwld.L Phone: V5�c
Address of Firm: 2I (20jrVV":z Dr. �'�, 1J [-J80'V
TYPE OF WORK: /
Lay House Drain ✓, Repair House Drain ; Sanitary Disconnect
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 611 sir pUI L
Existing Water Supply: Public Water `� Well
Proposed Start Date i l 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 ZW144AE5E1_C_ the holder of Drain
Layer's License No. o;?o 717 7- Only holders.of P-10 Per 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. 1� I���� 4 PLEASE NOTE:
IF A SANITARY SEWER LATERAL
IS WITHIN 75 FEET OF A WELL
IT MUST BE AIR TESTED
Signed: Print Name:_ 77 �/f5
Licensed Drain Layer
Date: — l
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 3/2018.doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS
STREET ao.4"i,
SUBDIVISION:
NORTH ARROW i1
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CONTRACT�PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE
DATE
TOWN STATE ZIP INSPECTED BY TOWN
DATE
TELEPHONE NUMBER
WHITE — TOWN PINK — CONTRACTOR YELLOW — CONSULTING ENGINEER / DEVELOPER
Grillo, Robert
From: Grillo, Robert
Sent: Wednesday, May 16, 2018 12:25 PM
To: Manfre, Anthony
Cc: Doolittle, Jeffrey; Drabek, Bernard
Subject: 87 Kelly Location of Sewer Lateral
Attachments: Kelly 87 Sewer Lateral As-Built E003.pdf; Kelly 87 Sewer As-Built at Willow E002.pdf
Tony,
Skips Wastewater is trying to connect 87 Kelly Road to the existing sewer lateral. They searched for the end of the
lateral based on the attached sewer lateral as-built(from sheet 3-E)but did not find the lateral. Please camera the
sewer main in this section of Kelly Road to locate the sewer lateral at the main to 87 Kelly Road. Also attached is the
adjacent section of the sewer as-built(from sheet 2-E) showing the downstream manhole Please contact Andrew at
Skips,860-573-0057 to let him know when the camera work will be done so he can be there at the same time. Please
contact me if you have any questions.
Thanks
Bobb
Robert Grillo
Project Engineer
Town of South Windsor
Robe rt.erilloC@southwindsor.ore
(860)644-2511 ext 257
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