HomeMy WebLinkAboutApplication for Sewer PermitCITY OF CARMEL
APPLICATION FOR SEWER PERMIT
DATE
PERMIT N 0 :�
APPLICATION IS HEREBY MADE FOR PERMISSIO/N TO CONNECT THE BUILDING AT:
SUBDIVISION ✓( , Ky LOT NO: (� G' SECTION NO:
ADDRESS STREET
WITH THE PUBLIC SANITARY SEWER ON - 1--- STREET,
THIS APPLICATION IS MADE BY:
OWNER O -R AUTHORIZED PLUMBER)
BUSINESS ADDRESS
THE PLUMBER MAKING INSTALLATION WILL
TEL:
B E '
PHONE: PL�UMBER�S BOND EXPIRES;
.L• /
PERMIT ISSUED BY;ISIGNATUREI
THE BUILDING SEWER SHALL BE VITRIFIED CLAY PIPE, 6 INCHES IN DIAMETER
MEETING ASTM SPECIFICATIONS C-700-74 FOR EXTRA STRENGTH CLAY PIPE OR
LATEST REVISION UNLESS OTHER MATERIALS ARE HEREBY PERMITTED IN WRITING.
THE SEWER SHALL HAVE JOINTS MEETING ASTM SPECIFICATION C-425-74 OR
LATEST REVISION. THE SEWER SHALL BE INSTALLED IN ACCORDANCE WITH ASTM
C-12-74 AND THE UNIFORM PLUMBING CODE FOR THE STATE OF INDIANA. ALL
INSTALLATIONS SHALL BE IN STRICT COMPLIANCE WITH PERTINENT CITY OF
CARMEL ORDINANCES. ALL INSTALLATIONS SHALL BE "OPEN TRENCH" INSPECTED
AND APPROVED BY THE CARMEL SEWER DEPT. 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 OR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWER. SEWER INS-
PECTIONS SHOULD BE REQUESTED AT 846-1527 -- 1 TO 4 HOURS IN ADVANCE.
NO INSPECTIONS 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
(OWNE'R OR/AUTHOR FLED PLUMBER)
-24&.--w