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Home My WebLink AboutDrain Layers Permits 921 Foster Street 1900028 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN.LAYER PERMIT DATE: 03/15/2019 GIS ID:33600921 — MUNIS APPLICATION# 201900413 , " f - »t FEE: 80.00 EXPIRATION DATE: 04/14/2019 APPLICANT' '7` j 'u LOCATION NAME: COUNTY LINE SEPTiC L � w i— Vr ADDRESS: 7 RIVER ROAD 1 } 4 r y DDR9 S 92I FOSTER STREET c OWNER�" BAI;Tl BRIAN FOSTER STREET WILLINGTON,CT1002-9 J h PHONE 860-71i6 3991€t'; t WORK DESCRIPTION: NEW A IC s ,�Wlw�t 01�j1�lyCTION • '�, ti 4 THE DRAIN LAYER ASSIGNED TO THI:s 'i~rIIITIIAS A; ALID I ZCSm ISSUED$Y THErLSTATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTI IN TI , i'I TACIIEp` ONDIZIONS'x ALL, VORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANMwrALL OSI AxRE(YJIREMBIx1`IIE ATTACHED CONDITIONS. t t xS ISSUED BY DATE INSPECTED SPECTED BY 3/15/2019 11:43 AM I I • c if t ' E , r f . qr !S' 4 rfir• t h l s f •rJ 1 t' ti rri, 1 f el '% F 4 � Ail w ? 1 1 1 TQW.N OF SOUTH.WYNDSOR INSPECnON REPORT PERMrr NO.: �9•600)it, CQNTRA, LOCATION,: i TYPE OF WQRK, DATE INSP NEEDE6. DATE INSP: .3 INSPECTED Bl(: . J.P WOM-IN wr lu i� •�1®�r�m PROGRESS: r l tiss w'j'rA . -- .• . . . •. - - WITNESSE p YES �NO- " SEPTIC THINK PUMPEQ,"SMASHED; FILLED p� AS-BUILT: • I INPUT:..: DATE: • 3 lo WORT 14 S/manoworms M4 TOM of South Windsor•MPSWMN Z TOWN OF SOUTH WINDSOR - SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: ffi BUILDING ADDRESS �t STREET SUBDIVISION: NORTH ARROW I-- -- -- -- -- 4 4L 4-__. I 11 IL -410 CONTRACTOR PINT) NAME OF 0 RACTOR' S PERVISOR (PRINT) ry STREET ADDRESS SIGNA 1 f In rOL2761 DATE TOWN /� STATE ZIP INSP E BY TOWN 50-- '��_y�I DATE TELEPHONE NUMBER _ WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER 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: V) &/A� Lot # Street No. Street Name Premises owned by: (l`,rr 640k Name of Firm: Ac L LL Phone: Address of Firm: 7 06v�e, <d -F 6.�?7� TYPE OF WORK: i 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 517 jS� & ref ed /I Existing Water Supply: Public Water X Well Proposed Start Date 3 �►� Estimated time for completion 49 - 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 the holder of Drain Layer's License No. AbW ,o Z 99� "r 12- 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.recelved Town Street Excavation Permit No, and/or ConnDOT Permit No. CBYD No. PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED Signed: ��!� �� Print Name: )< b ALicensed Drain Layer n Date: 3 1 s t Standard Farms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT REVISION 2017.doc f Count Line Sept!CLLC Y 000*INSPECTIONS•INSTALLATIONS•REPAIRS•PUMPING Sewer Connection Address:921 Foster St Ext,South Windsor I t t-Shk 4"st1,40 .04, �e bed hw 10�v E �1-ScR�fd oil, kq ;N14J&�e� 1�ne 10 Nee Se;vrr )*fe tvQ l6 bcc. Fos�tr w x k sr h itd Confirmation and Call Before You Dig CT K Ufthelm wwW.ebyd.com callbellcbyd• om Mark out Check-list Call 811 SIX www.cbvtl.c m ExcavatorTicket # Details Contact: Mr Christopher Sutyla Caller Id: 37771 20191,102331 Address: 7 River Rd Ph: 860-716-3991 Willington Cell: 860-331-0444 Email: Csut la@countylinese tic.com Fax: 860-454-8013 Dig Site and Ticket Details Ticket Type Routine User Reference Not Supplied Ticket Date 03/13/2019 18:34:43 _ Work Start Date 03/19/2019 i. Ticket Expiry 04/12/2019 �. 921 Foster street ext SOUTH WINDSOR Address Sewer i Type of work Svc Install • : . : Machine Exc i Location of Private Property Workplace Location in Road Not Supplied Excavator County Line Septic LLC Is Pre-marked YES Cross-Street Robins Wood Way : k� Notes/Description of works the f d f the h C e We will be excavating in front yard a e home. onnecting the home to the i sewer lateral at road waaNriuGi.Gh k.thatthe map;location:;agd;the details:contained m this document are mrrect,_lf'not please Whtac#'.the call center to make,the necessary correctloiis.'Som2,iitilltles�y'not se�youF maodl'aWlnasObe$urey4ur."remarks".areas.de5t11Qtivea5 ;'`.; 1 ,possible.,GT regulations reouire the proposed dig site:must.be:p're= marked In white paint white'lldgs or white tipped'stakes befdre.: theaocationr eau esfcarr:be.me l Your Responsibilities•Do not proceed with any excavation until all Public Utility owners listed have marked out their facilities or have contacted you directly. .Ensure you adhere to any State legislative requirements regarding safe digging requirements. •If you damage an underground Public Utility you MUST advise the Public Utility owner immediately. For more information on safe excavation practices,visit www.cbyd.com Utility Owner Details The Public Utility owners listed below have been requested to mark out the location of their facilities. Please note they may contact you directly to clarify any aspects of your ticket. CONNECTICUT WATER COMPANY 1-800-286-5700 1-800-286-5700 Notification Y/N Sent COX COMMUNICATIONS 800-778-9140 800-778-9140 Notification Y/N Sent EVERSOURCE ELECTRIC 800-778-9140 800-778-9140 Notification Y/N Sent EVERSOURCE GAS 203-206-5702 1-877-400-6811 Notification Y/N Sent FRONTIER COMMUNICATIONS 800-778-9140 800-778-9140 Notification Y/N Sent TOWN OF SOUTH WINDSOR 860-644-25i1 x344 860-644-2551 Notification Y/N Sent END OF UTILITIES LIST Oiii CallAeuu•po Wc.etl by PCIIca1lCo.p -