HomeMy WebLinkAbout0178.79 Sewer Permit/7b = 79 -
CERTIFICATE OF SEWER INSPECTION
CITY OF CARMEL, SEWER DEPARTMENT DATE
PERMIT NUMBER
LOT NUMBER SECT�ON N0: SUBDIViSION f=�
I ADDRESS -- STREET --- _
TYPE _- -
OF PiPE
SIZE MFGR
DEPTH OF SE�dER: AT TAP: AT P/L: _ AT BLDGc _
TOTAL LENGTN OF SEWER
TYPE OF CONNECTION AT TAP -
TYPE OF CONNECTION AT BUILDING
COCATION OF TAP: -
� ,_ �. , _
-___FEET _ Of (FRONT/REAR) P/L
-- j____ . ;
FEET ,- OF
(manhole, fire hdyt, etc. }
PLUMBER 1NSTALLING SEWER r.
INSPECTOR • �",- i. . ,
SKETCH OF PLAN-�AND/OR PROFIL� OF SEWER
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CtTY GF CARMEL
APPLICATION FOR SEWER PERMIT
PERMIT N0. . DATE "
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THF BUILDING. AT;
SUBDIVISION L07 N0; SECTION N0;
ADDRESS STREET
WITH THE PUBLIC SANITARY SEWER ON �' ` j STREET,
THIS APPLICATION IS MADE BY: �'r— -
OW OR AUTHORIZED PLUMBER
BUSINESS ADDRESS i _TEL;
THE PLUMBER MAKING�INS"fALLATION WILL BE: . :
PHONE;____ PLUMBER�S BOND EXPIRES:
PERMIT ISSUED BY; �SIfNATURE)
- THE BUILDING SEWER SHALL BE VITRIFIED CLAY PIPE, 6 INCHES IN DIAMETER
MEETiNG ASTM SPECIFICATIONS C-700-74 FOR EXTRA STREN�TH'CLAY PTPE OR_
LATEST REVISION UNLESS OTHER MATERIALS ARE HEREEY PERMITTED IN l•JRiTING.
THE SEWER SHALL HAVE JOINTS MEETING ASTM SPECIFTCATION C-425-Z4 OR
LATEST REVISION. THE SE4JER SHALL BE INSTALLED IN ACCORDANCE WITH ASTM
C-12-74 AND THE UNIFORM PLUMBING CODE FOR THE STATE OF INDIANA. ALL
INSTALLATIONS SHALC B[ IN STRICT COMPLIANCE WTTH PERTINENT CITY OF
CARMEL ORDINANCES. ALL INSTALLAT[ONS SHALL BE "OPEN TRENCH" INSPECTED-
AND APPROVED BY THE CARMEL SEWER DEP1". BEFORE ANY,BAC4:FILLING IS DONE.
NON-COMPLIANCE MAY RESUL7 IN DIGGING UP THE SEWER INSTALLATION AND/OR
DENIAL OF FUTURE SEWER PERMITS AND/OR DENIAL OF 41ATER CONNECTIONS:
NO'FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF GROUND WqTER OR
STORM WATER SHALL BE PGRMITTED TO ENTER THE PUBLIC SE4JER. SEWER INS-
P�CTIONS SHOULD BE REQUESTED AT 846-1527 -- 1 TO 4 HOURS IN ADVANCE.
N0 INSPECTIONS WILL BE t1ADE ON SATURDAY OR SUNDAY OR HOL?DAYS UNLESS
ARRANGEMENTS AR[ MADE AT LEAST 24 HOURS iN AC�VANCE. ALL PLUMBERS OR
CONTRACTORS INSTALLING SEWER COR 4JATER) LINES SHALL HAVE A PLUhiBERS
BOND POSTED WITH THE C�ERK TREASURER'S OFFICE. IF l�NY STREET MUST 2E
CUT� A SEPARATE STR�ET CUT PERMIT SHALL AL50 C3E OBTAiNED.
SPECIAL CONDIJIONS:
I HAVE READ TNE CONDITIONS QF THIS PERMIT AND AGREE TO ACCEPT THE
RESPONSIBTILITY--FOR; ALL WORK ;90NE UNDER THIS'PERM[T,
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`� S I GNED i��,`._ �..r--Y' t.� ,�_...
iOWNER OR:AUTHORIZED'PLU�IBER)