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Home My WebLink AboutDrain Layers Permits 910 Foster Street (4) 1900097 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT DATE: 09/12/2019 GIS ID: 33600910 FEE' MUNIS APPLICATION# 201902036 fa 4, ' - 80A0 22, EXPIRATION DATE: 10/12/2019 APPLICAI9 LOCATION NAME: EAGLE EARTHWO ,SERV ADDRESS 91'U FASTER STREET ADDRESS: 101 N MOUNTAINrtDr `MANNARINO BUILDERS INC 40br CHAPEL RD UNIT#3F CANTON,CT 060Iy9 c L 4 PHONE 860-64�3U2 1 y, tzl w x /4L S a WORK DESCRIPTION: NEW s WER`GG �ECTIbIV f THE DRAIN LAYER ASSIGNED TO THT§P F r HAS V1�LII)i:IC)vTSE,ISSL7EI��Y TI3E STATE AND HERESY AGREES TO ALL THE TERMS AND CONDITIONS SET F01kts7IiINrTIT;AT�ACIIED` ONDI101�5'. `AI,L,WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDgRDS„AJ OSHA RI✓(iJtREMSI+ITS'-x*1D�THE ATTACHED CONDITIONS. Y } t ISSUED BY DATE INSPECTED INSPECTED BY 9/12/2019 8:45 AM r , 4 It . 7 N x t' s r r ,y F Y 1 i k 1} wr 3. t4 1 '"�� S V ♦ r F Y n t S l V1 S S t T011V OF SQUTN.wilmoSQIINSo9pwN REPORT PERMIT NO.; COW. -R 4CTOR. L,pCATIoN: 9 I S e! TYPE OF INQRK: . �� -�._ •. ��' - - D4TE INSP NEEDED: ~ ="� "� INSPECTED 6Y: - WORK:IN .� +v��atir I �� 1�^? i.fr• Via.+_ �N:,�Ai�~.,� � - EQ -SMASHE©; FIi:LEl3 �j 1NITNES5ED ❑� NO SEPTIC TANK PIMP ,- AS-BUILT:• ' �--'" . . • . INPUT: C vv DATE: 4 ----- S/mclloyfibmrs2014 Taws of south WindsoriMombN OP64T14 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: 9 le) F015)y( Lot # 1 Street No. Street Name Premises owned by: Alfl Vir ? f1ILL Name of Firm: � 5t4l6J- / Phone: � ��20� Address of Firm: 67��/ TYPE OF WORK- Lay House Drain ; Repair House Drain ; Sanitary Disconnect Lay Lateral for buil ing with connection ; or no connection ; Lay Main Lay Lateral for Commercial/Industrial Building number of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date - 1 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_ � G 4 qe of, the holder of Drain Layer's License No. __2-=/c 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. �� PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST BE AIR TESTED . Signed: �- Print Name: l2 Gt1 ZCcaX Licensed Drain Layer Date: 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 SUBDIVISION: > r r``t " NORTH ARROW r T � E _ 1 1 3 _ '~ - -=� - mg=hi I _ - CONTRACT (PRINT) NAME OF C TRACTOR'S SUPERVISOR (PRINT) S EET ADDRESS SIGNkIl RE L. �. rL-q -1:1 L. '�" �� E!;� � i.0 !DATE TOWN STATE ZIP INSPECTED BY TOWN 61, 0 G:r I I- -- 0 � � DATE TELEPHONE NUMBER ,� WHITE -- TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER