HomeMy WebLinkAbout0001.99 Sewer/Water Permit/sCLAY TOWNSHIP;REGIONAL WASTE -DISTRICT
SANITARY, SEWER PERMIT
[ ]'CONDITIONAL: PERMIT [ iF.INAL,PERMIT'
INDIVIDUAL.LOTSIEXISTIN 'BUIL'.bINGS�
Location: .
Owner/Builder:
gty
Availability, aido- Connection FeejPaui:
Interceptor, ChargesPaid:; ,$urcharges . /'d�t%� . ,LQC
PLEASE NOTE: Installation of building sewer shall be per -the specifications:of'
the'',Clay Township Regional Waste District (see,reveirse)and anyconditions noted below:, All
installations shall be ihspected'by Distract,personnelAuring "opentrench" phase and before
backfilling with sand orrstone to siz inchesvabovb4he pipe: NO footing or foundation drains; or
other sources,ofground or,stormwater shall,be.permitteddt`o enter the DistncNs sanitary sewer
system. The Distract wilfassumeno'liabihty;fordrains which aretielowthe grade;level_of the
;nearest downstream manhole nor-forlaterals which:are,extended beneath driveways or, _
-sidewalks; the;permit holder (property owner; developen:orbudderpwill be responsible. For
'damages to tlieDfstricts sewer,syst`&n) including manholes, castings; manholeJ0s and the, like
caused byconstfuchowactivity,on the�building site which:is the:subject of ttiis permit, the perm f:
bblder'is also responsible.
`Inspectionscby the District are MANDATORY.and shall 'be"arranged by contacting the District`s.
office at 844`9200 onto four, hourvin-- advance: All new_ c__onstru_ction'willbe:placed on' billing -six,
monthvaker connection has7be-emmade:
'By signing below, I attest that I am,familiar with'the District's'specifcations and a_gree'to accept
responsibility:for all'work+done'underthis permit -
Condition
NO CONNECTION to the, sewer untiOurthernotification.
Certificate ofdlhsuranceirdst be on.file withCT.RWD listed as certificate. holder.
( ] 484iours,notic,bef6re work starts on, man hole core:dril_ling oncuts`of activednes
.and Dlstridinspector must be°on:site.
[ ] AtI;15i4ki fees will be paid in full..
[` ] ,Approval pending Districts review'of plans..
_ _. _ _ r
[ j 'Copiesiof,approved permits from:appfopnate�county or aty' agencfes�for wofk;imtne
right-ofrwaq,.Joadl cuts or are attached.,
All conditions have een met and final permit'issued. 19
-� Vd1 vV aye,
Builder/Owner Signatures Phone
A • Hqa,_�_. .
Inspection Fee,_Paid: $55`00 �/. !�vsite pIanslsubm* 6
Permit issued tHs, dayrof_F E L 1,99
CTR o
0, ermihreva'-9s/cf f''
Permifvalid.onlywith CTRWD seal in°"red;ink'.