HomeMy WebLinkAboutSewer Application.Rev. 4-14=86
CITY OF CARMEL
APPLICATION FOR SEWER PtMIT
PERMIT NO: 72 -7 9 -^-> cS
DATE: _.._L 1:'c"e-j, v{,`'C.•� / _l� 7
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE BUILDING AT:
SUBDIVISION:', L� <.- ^,(,LyC !; U{1� LOT N0: SECTION NO:
ADDRESS:_ STREET:
WITH THE PUBLIC SANITARY SE. E'R ON STREET.
THIS APPLICATION IS MADE BY: ,X�'� G
—DOWNER OR AUTHgRIZED PLUMBER)
a
BUSINESS ADDRESS:_ _TELEPHONE:
THE PLUMBER MAKING INSTALLATION WILL BE:
PHONE:_ PLUMBEA'S BOND EXPIRES:
PERMIT ISSUED BY: \ ( SIGNATURE )
r;
THE BUILDING SEWER SHALL BE PVC SEWER PIPE MEETING ASTM SPECIFICATIONS
3034 SDR 35 OF LATEST REVISION OR VITRIFIED CLAY PIPE, MEETING ASTM
SPECIFICA"PIONS C-700-74 FOR EXTRA STRENG'T'H CLAY PIPE OF LATEST REVISION
WITH JOINTS MEETING ASTM SPECIFICATION C-425-74 OF LATEST REVISION UNLESS
OTHER MATERIALS ARE HEREBY PERMITTED IN WRITING. THE SEWER SHALL BE
INSTALLED IN ACCORDANCE WITH ASTM C-12-74 FOR EXTRA STRENGTH CLAY PIPE
AND ASTM 2521 FOR PVC PIPE AND THE UNIFORM PLUMBING CODE FOR THE STATE
OF INDIANA. ALL INSTALLATIONS SHALL BE IN STRICT COMPLIANCE WITH
PERTINENT CITY OF CARMEL ORDINANCES. ALL BUILDING SEWERS SHALL BE 6"
DIAMETER. ALL INSTALLATIONS SHALL BE "OPEN TRENCH" INSPECTED AND
APPROVED BY THE CARMEL SEWER DEPARTMENT BEFORE ANY BACKFILLING IS
DONE. NON-COMPLIANCE MAY RESULT IN DIGGING UP THE SEWER INSTALLATION
AND/OR DENIAL OF FUTURE SEWER PERMITS AND/OR DENIAL OF WATER CONNECTIONS.
NO FOOTING OR FOUNDATION DRAINS UR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWER. SEWER
INSPECTIONS SHOULD BE REQUESTED AT 846-7314--1 TO 4 HOURS IN ADVANCE.
NO INSPECTIONS OR INSTALLATIONS WILL BE MADE ON SATURDAY OR SUNDAY OR
HOLIDAYS UNLESS ARRANGEMENTS ARE MADE AT LEAST 24 HOURS IN ADVANCE.
ALL PLUMBERS OR CONTRACTORS INSTALLING SEWER (OR WATER) LINES SHALL
HAVE A PLUMBERS BOND POSTED WITH THE CLERK -TREASURER'S OFFICE. IF ANY
STREET MUST BE CUT, A SEPARATE STREET CUT PERMIT SHALL ALSO BE OBTAINED.
SPECIAL CONDITIONS:
I HAVE READ THE CONDITIONS OF THIS PERMIT AND AGREE TO ACCEPT THE
RESPONSIBILITY FOR ALL WORK DONE UNDER THIS PERMIT.
SIGNED: � j
`OWNER OR AUT ORTZED PLUMBER)