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HAMILTON WESTERN UTILITIES. INC. Account# 1000/ 06/_01/1042/ 0
1350 Greyhound Court
Carmel, IN 46032
(317) 846-6561
DATE: ;._r,�� ;t , 1981
RECEIVED FROM: Rull".1n [TIC.
ADDRESS: 71394 E. 126th Ubbiesville., Tndi -msoo 1466060
LOT # 3 i , THE- 4.1bi M:FARMSAYILLA66«OF.,MT •-CARMEL, Section # 1
OTHER Hunterz Creek South
Lot Address: 13746 O;futC J,lve
WATER CONNECTION FEE $ 285,00
SEWER CONNECTION FEE
INSPECTION FEE 2S, 00; PAID /�y, (
*DEPOSIT - WATER i-00,00 -
*DEPOSIT - SEWER
*DEPOSIT - WATER SHUT OFF 100,0iT �''"----_-- -- •------
TOTAL 510.00
It is hereby agreed that a $1,000 penalty will be charged any builder
introducing any water into this sewage system other than sewage effluent.
Sewer lines must be of acceptable quality, PVC with self sealing joints
or CAST IRON pipe with O-ring or leaded joints. All -joints must be leak 2roo£.
There is a 6" wye to serve the lot on the left and the right. If a smaller line
from the house to the wye is used, it is mandatory that a reducer be used at the
connecting line.
Basement floor drains are not permitted. Water closets installed in
the basement must have "back water" valves.
Sump pumps, perimeter drains or area drains must not be connected to
the sanitary sewer.
ALL SEWER LINES ARE TO BE APPROVED AND INSPECTED by Hamilton Western
Utilities, Inc. PRIOR TO COVERING. Failure to do so will result in uncovering
sewer line at the expense of the builder.
ALL WATER LINES ARE TO BE APPROVED AND INSPECTED by Hamilton Western
Utilities, Inc. PRIOR TO COVERING. Failure to do so will result in uncovering
water line at the expense of the builder.
WATER SHUT-OFF VALVE IS TO BE APPROVED AND INSPECTED BEFORE AND
AFTER FINAL GRADING by Hamilton Western Utilities, Inc. Failure to do so
will result in locating and uncovering shut off at the expense of the builder.
*After the completion of all inspections and approvals the $300.00
deposit will be returned. We will need one (1) day notice for inspection.
-By signing this form builder
acknowledges that he has
received a copy of this and
fully understands the contents.
HAMILTON WESTERN UTILITIES, IIG
Shar e . ,Henry
,
Inspection - Water Bys
By:
Sewer Bys
Susan -oller
Shut-off Bys
as s
---------------------------
Meter # 86u54y)o
Shut-off Location
Remote #
from curb
PLUMB rUs
L/R of drive
Received Bys
Remote Location Reading
Installation Date:
Sewer Connectioat
wwas+mssss -
After Construction
Direction from Manhole
Feet from Driveways
Feet from Manhole
ft. left/right
Feet from Curb
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