HomeMy WebLinkAbout 0079.00 Sewer/Water Permit/sy w�Y
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
'SANITARY SEWER PERMIT 'r
[ ] Conditional Permit WInal Perm t.
' INDNIDUAL`L'OTS/EXISTINGBUILDINGS ''
Project Title:
Locationsq
' OwnerBuilder"' 6 � . ,
/�.
Lo[# g`7
s
City`.x mt D. Zip Cour(fvrsici ,
I_nterceptorCharges Paid: LOCI' ::EDUFeE4,&A d
PLEASE NOTE: Installation.of 6wldid6sAW r shall be;per the specifications of the Clay Township
• ,F
Regional Waste;Dis rlr t' see reveise)and any conditions noted below; ;Allalnstallations shallbe inspected by District
personnel during' openitrench ,phase and before backfilling withsand or stone to six inches,above the;pipe: NO
footing or:foundahon drains, or othersources ofground or.stomwwater shall`be•pen ideditodnterthe,Distdcrs
sanitary sewer ystem:,The Disttrio.will assume no liability for drain"s'which are?below tfie arede ledel?of,the;
nwwumy inannoies; casungs, mannoieiiias anune IiKe, caused'by,construction actiyMi on'theabuilding•site which is
the; subject,of;this perinit,;the,pennit-holderis also responsible;'
Inspections'by,the District are'MANDATORY-and shall bearrangedby' contacting the Distract'sloffice,at;844-9200;one
{to four hours.in�advance. All new,constnrction will'be placed', on billing six months'after connection has,beenmade.
.Byaigning below 1 attesl'that•I amfa_miliarwith.the,Distncl's,specifications and;agree to accept:responsibility,for"all
,work'doneunder this permit.,
District will uts ect'all sum _ _ _ p p pump connections40 to 60.days afterthe lateraCinspection.ha§:been
o pleted:
L-LIado have received a copy of Ordinance No: 9 b-99;and agree;to foliow:all District standards effective with
roniofthisordinance., a ;
F i ,
:Conditional Pemiit76firn :
[. ] NO CONNECTION'to the sewer until further notification.
[: ] Ceitificate,oflnsurance must.be,on file with CTRWD i sied as cer{ ficate holier ,
[ ]„ 481hours,notice before work starts owmanhole core 'drjlling or cuts; of active lines
[1
[� I
CI
AII,Conditions haV6,been:met�and•finaVpennit issued19
uilder/0wne7 Signataib Phone;
e E` M.
. ke
Inspection Printed
Fee;PaidS $75.00 ! _ s�2 tte:plans submitted_'.
Permit issued'this, day of Mo.�o p!HM1"r0*00
o4M �
rTLjjy W; Alley Utili
Pertnitiev'12-99Icif
n;red ink;