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0405.01 Sewer/Water Permit/s
. . . ' . .!� .. . �. ` ; r ` � � .. y � . ' . . f .. Y . , � ,... • � ..' rCLAYTOWNSHIP REGIONAL WASTE DISTRiGT. � , �' � ., ' SANITARYSEWERPERMIT:� -.. � - [ ] Conditional;Permit , :pc,�,FinalkPermif ' ' �.: INDIVIDUAL LOTSIEXISTING BUICDINGS ' Pro�ect:Title � .�''" ����/��°'��7 �3,,.�' k��i'�}+'� � � . • a ,. �� �: J Location ' . � . C�<�, � ( OwnerBuilder . , '' �`�"Cl(� .;�7`M-�J r . : „✓ / ;;:, ,s: .: Lof# `--(_ • ,.: ,. � � //'�� � /�' / Street address ��� ��1�C'X�-C� C:JQ,C 5 , �ity l�/Yd`UEX� � ^ • ZIP d��*4County , �< C 2�G�C���v` � r y. � lti n ".- :1�� �,, 1 '..t �lr � : ,,:� � � .:',. .�' . � InterceptorCharges Raid . LOC ;" " ` EDU'Fee � � , , > , � . ' ; , r , � �. ' ,ro , „ :, r , � PLEASE�NOTE ,c� � �'Installation of building sewer shall be per'the specifications,of tlie Clay Townsfiip Regional Waste Dist�ict(see reverse)and'any conditions noted_below AlCinstallations shall be inspected by ' District personnel during open`trench' phase and before backfilling with sand or stone,to six incfies above the pipe. NOfiooting or foundation�drains;or,othecsources.of,ground or;stormwater; "shall be permitted,to enter the.Dist'ricCs sanitary sewersystem..The:Dlstrict wlll.assumemo Ilabllitv for draln�'wtii r, 6elow the arade level of the nearest downstFeam manhole�nor for laterala wtit,.ti . _,, J LtlIIH drlveways or sidewalks .The. permit�holder(properry owner,dev�loper.or�pUilder)w111 be're�ponsip�e for-damages,to;the.DistricYssewe� sy"stem. This includes damages to manholes, castings, manhole Ilds'and';the like,c',aused.by construction activiry on tfie building-site wfiich isthe subJectofthls permit "' " }�'w•' a u � _ , . � , ;� y� . ,,. . i �'::' x i �I�!�"� F �! �: 7 � �: � � . Inspections by the Distnct are MANDATORY and shall be arranged by confacGng the:District's.offce ac844=9200 24 hours'in advance. All new construclion will be placed on billing six months after connection has been,made or when water is connected whichever comes flrst ` � , � : , ����� ' � , �o'"Distnct will,inspect alPsump pump connections 30 to 60 days after the lateral inspection has been complet d. a + ,� ��, „ . `...: F i 'iG i A 1,,1�� I ;s�lh I i ',•�1 �y� �; '_,.. � , �� ave recerved a�copy of Ordina�ce o 9 3- and agree to follow all Distnct standards Builii,ing as a'[ � crawl space[ ] slab or[�basement tFiat III be.finlshed,;[. ]rough in plumbing`with• nnder pump installed durfng constructfon,[.]rrough=ln Iumbing only and grinder oumn wil(nof be'installed du�ing constructlon;[,.] no plumbing ln';the basement Please check a ro nate:box. Builder will notify the District offlce when'the'arinder oum� irict u'ryo�l' com "PP p " ` .� - x, �� �� :•a'" � ": v � � . �.i _ _Conditional'Permit'Terms ` , ;, _ ' " . - ' [ ) NO CONNECTION to tHe:sewer until furthe�notification. ;�• � [ ] Gertificate of.lnsurance must be on,fiie,with CTRWD listed'as certificate holder. ' . [ ] _48 hours notice';before work startson:manhoie'core drlllirig�orcuts of active]ines ' and'DisVict(nspector must:inspect all work before coVered - � [ ] All District fees.will be paid ir�full ' ',:,: � ` < <� r � r • � .: ' � ( ] �Approval pending Dlstrlcts'revlew'of plans ' '` ' - � � ] Copies of approved,permifs ffom aPpropriate co'unry or ary agencies,for wo�k in the7lght of way'•road cut's or ' � , a�e reqwred:, [ j Nqoccupancy.unhl further'notlfication . , � . . ,�. , : , � � ,� �_ . All Condilions have tieen�met and final permit issued 20 .:.1. � , ,. y : ,. � _ By signing tielow I attest that I am famdiar wiih the Distnct s speec�fcatlons and agree;to;accept responsibility for all, work;done Under this permit y � � ' '_ ' ' ,, ` - / �/� ' !i: �n;;' � :, F� C� •;t� r �_ ��/ �j/�/�':_ � . . Buildet/Owner Sign ture � � , Pfione .. . ?� ����5:�1 .. , rinted Name . . : ' ` ' . , Inspection Fee Paid:;•$75 00 � " � � ' �. ��A�'�Mj � 2 site plans.sub�' t�d 4*�� Permit issued this�day of, � "' - 2001 y °o� Permif is valid for only ONE YEAR fr m the date issued. ' C� �D -� � � RU ` ..o o e 4 � , �� ' ` ; .� � � ..� . ,,c�a,.5 � ay W.AI y,,Utility Manager ,;, 9F�roNA�W�`', *`' � � F: - .. . Perm�i�ev.oi-o�igr , Permit valid only with CTRWD seal_in red ink. ' i � :r CLF�,Y T.O�'NSN�p REGIONAL'�WliSTC�DISd;RICT, :SUI,If:IARY O�F LAIiER.]LIidSThLLl'�7�1011 RtC�UIR�F: _P!d'.S � �uus�> > dduig§.Ci� ,sn.11 cniiliC�, toS1li�:iGiswu ti s ni IE.i� �� c� s�'."i i i hf 90 .:u -. = S o,. �r:.•iciny � �r is6i'nu in 3U05�eLIOi ilnniiiiuli 6aunt;o� lUU?i I fpr.HU:�n t r .ii. �E:d';w ii . .� .. .'P_�V.l(lI .Flil`J�"< lIII�.,:I'IjLIIII S '.J Illllll I IIIILIiIIvIIIII �I.II._f_�� i I ' ::,�.J'L•'r . . '• " ;�-'�unaaiiomor ntiiersionn� _aierdi�inrsh,zu be in�erconneet d iai�r '�� i ' ' "��• °� ' - _� .i���,�,c , �.i. .. _ �.z�.uit r]lstrledssaniiary,sa�:+er�, - .. � �e4islin��sc�req.fin? Iro n ihe-huilding to�Ihe�'sepuc iank�niay only ue us'ao il a is loc.�r,u i u�. .:_ '3 v ipn,:pa io po"�GPOr o vea tlnvew f Air tesi'�s ro�m�oU ',i�'shc� il a�ce n ul ioi i �� I i a���-,.�^' . r n_fg5f�8(f ]e0f 1112yCA f O��all'(�Sfil14� ��`��Ui111(61 i115)E'C��jzpt� f b C�t°.i^ .. JI .L.i4�It � . -' a u'J�iSer er,coi5traclor sllall,ndily�lne Uisiiioi pnor �o coveiifiy ilie�nsiallei! i 31�r I�su;i�u ii ➢ ��s : , .^, a n i u»c ion;ddAterriuiiesnmpliancr :i�h �n� Dis.icYs se e use prihn�nr 5�„r- rt a��� I"" >'�u� -`�.ce � nours�pno�,io�Ine n,erd lor rtie�inspeuion If tpeiiiss�ec io i�I,�i;s�u �a-vin � 5 .- - �iiE�!,ni �oru}ictbi is nOh�n sile I�r s h ,iJln�insne�t�e`n,�,�r hils. . �. I � .:.J..�:• ��� - __ - . . � ��. �r��y:ytll,b :<ue.�Tliisnwsi>6etpaitl�nuoc�oEd�elfineof�(nes�on� ua�n.�he'aiun � >� �_:;" � ,n�6�are h0[CI7� tiviSeB 11a Ilid C?iSn}�' ui) U UI . �or__,u�l � ��. i�ill.ii . . �,ci1.nc�Lly?ir:aic sr i�-.J'ispo�il(s'I��ic)a � � nis. l��p�. Cou�t� l,i:iL� � �� � �i�.r,s i .. �. P� i,-:i,i l�). I:l'I17I10 � r 9 '01?,I r Pi d:T' SI�aII:�L.;iJ2iiuti i c 1 I- I,J<I t u11d4:P _ .. � . i�. ..,;illl u.,-n�JiinGP.. � :atiC CUI��WUt�hv uPVfu{ln I�('ouiilC:Ht u Clri'�''A � _ I ..flh ���� u)S . . ._ =.^e:.��iao`ie�?i;3e;t:iaieiiais PV,CiC II?E SDRs35!AS���1 D.-3�i 1 SI� ;I�dCi I :2iPE' PvC�I',ih,L SUI2;Y�I.,FSI �1 fJ-TA I SI �Ii�:Li, �:'!��. 'GqSKE��S.J01lJ1:S�ASTI�1 D 32��1'7 GASK�TS �STtbi'rf=;77 'F�ITiIiJGS���.��SDR"-2o � � DUCTILE'IP.ON 1�AEl:HAD1IG�L CqUP�II�lCS ' I I YI i`'131i�r'I I"� -��I:I'�; .=' � � (;C'[RN OU CS'TO�BE LOC�AT�ED TI IR��E�C ( ^;�I'lllilh'. I�i'.= ���- FouNOnTio�,i n�!o ��o iaioriE rtin��i;o(! i �E r �F�isrr ��.�:��:,.� Use IIIN�s incf'ui:hlinnu�r.8�, L?:��r i �,swrn,;. Gilfmaterial isp,it5,'b.e �lacecl fr,qni 6 in_�h�_'s b�l��� ¢i+ii iiu n � �... a ��•� iiipe; � 1 tie tr�nch'sl'ioidtl.�be„a�ininiinuin,o` 7U:ii�c!i � �i�l�. "�a�ss�iilvo_,-iiis:au�a��no}cl�se man >0'eei io�n �a�iil,:;�lsii .��.-F� � .i , �..i45 , ,_ __ r�l�iiy�5 J 2�ldeli(1 FSTI I U22:1 !ny.piU{�o W inslil�diiW� �y nii;°'t: n �i,ie.s I -: ,_ -.. . � ,IBd 1y�,l��e Di5<<iCP211� t1ie�Di5lfiCPSfCI�yitiEe�'prl0r.io IilSI:lIIrt10�� ��'r_:cz raniiiiouris,maqe beiween S�I't"3���pij�eanu`P�essG ,�n� �SU,!3 � . � ��e. -, I�_�� d - . -wta�li .JI�WVOIiliti!�1dII+L`C;US.BC � �. �;.:iar�s iail icii,n�ua�� nli n�3'IC�PdI «ieroutl�ili9iuiiiess ux c��n��i�ungin i i � ��,g;;. i,...: �,� �i� ��i :I': I .in5' �.led�u1 iq:'oPUutlwilr �IOt�nUalon�"aI15., AJtiitioi �fmfonnauon on�ist(icl=standards�afdlespec�Gcalioi$ina,Ue obia�m� 6oiir;.i�.c U c i�,';u°"�_�� : ., . w Fusinessnowa�of(UUOa,m to5_OOpin I�iondaytthrougli�F.rid�y-allDisU7a;sJnJiis�,c.iii ����L :'::r. - . i'JSSiI 'i.htt) 'I':•.'::^,v?ClrtvO�Bvlels�OrcL/. CI�y,l o�tinsYiip Regional W,asl� Dislnci Ip7,(J,1'lJOrili GolleZje Swte A. , - �_:. In�iai�a{lclis!�InUiai,ia �16280� Pli�ne 6!'�1^92(J�; �'�, �g o?0'�. .^e� ��eni:;sualfmot�pe punigeu out intoJne s�nitaiy se'r r s s��i:1�, � i�h��BDlsuia=shal�N'ins ep cl_AL"L Interals. :Pleas�c;ll;ihe Diguirl Un�=at 3 5��.;t:: !�,- .. , _,..__,��_�� , . . _ . ,.�,... _ ,_ ' ' - . Conli:iclo s slnll I:�} 1 �jau�ostrunded,.�-nuc thc ntiic.l�n jl i UI qic I n r�il ,.•r � . � . �_ - .� . , _ .. � _, . ym .. ' _ _ _ —. ' — ' .��rri,�.6,1 Ih,rP)s IUin_�r��l�r 9@ nl�p•j ic in.nl�`,� ,I ir ..�.:i �t .,�,.;�,r`�, ' . ._°-�..._..:,.--_+..._' . �3:'� �..,. � � . .� . � 'c41.1!,. � :�i '.iy�. IiJ�I�,�1:+SOS� 3±i: �;5.i�.1', qt i wn^unniet ��, :�inx i.. " _.. .. S!-�r"r.t'L'.J�. ' ����/ �� � �� � ,.i i��� � �,�:y _ t � � b ' _ . �� .. . � � �`iYr ; �jA:'J ipS; ��` , .