HomeMy WebLinkAboutI & I Permit_03122020131446TriCo Region�l S��nrer lJtil�ty
107D� t�. Callege Av�nue S�ite A Indianapolis, Indiana 46280 phone 317-844-920Q fax 317-844-92fl3 www.trica,eco
L��SPd�1li7�I � � � ������ Ordinance 12-08-08
Lateral Locafion Qwner/ Occupang Information
Address Plurr�ber 1241 �wner
.
Address 2 First Narne
. . .. .._.
5treeE W�stvale Dr Last P�ame _
.... .
City Carmel phone Number
_ ..
5tate
. .. �.� Mopile iVumber
Zip Code 46032 . ....
Fax Number
Subdivision Jacksons Grant - -
_ . ... Email Address
Sec4ier� Number 2
. 281
Lot l�umber
P�rmit lnformatipn Ownev.4ddress if Different
Address f�urn�er
..
Address 2
. - .. ............... _ .. ....
5traet
. ... ........... ... ..
.. .
City
_ . .... . ..
_....
State
.............. ... . .
............ .... .
Zip Code
Builder lnformafion
Builder Custam �.i�ing USA
_
Phone Number 317-935-4077
. _
Facility FeaturEs and Addition lnformation
Siab Faundation Square F'ootage
Crawl Spaca Water Type Garmel Utilities
. . .............. -- - -
J ._ �.. y
Basement YES Basement Status E'ector Pum Onl
......... . .
Cfeanou4 .... . .
YES Main I� JG895-JG891
....._ ._ _ .._ ..................... .... .
Ejec4or Pump YE5 Lift Station 26 Jacksons Grant
....... .. . .. _
Sump Pump Y�S
. _ .. ...... ._
Grinder Station
Program Specifications
� This program r�quires prior ta the saleloccupance of a property that the property ownerlbuilder notify TriCo and
schedul� an inspection. The inspectian will veri'fy that:
r pownspouts are �ot connected to the sanitary sewer
■ The sump pump is nat connected to the sanitary sewer
'� Cleanout caps are in place and watertight
v No yard drains are connected to the sanitary sewer
� There are no sinkholes or other indications that the sewer lateral is leaking
� 5 Ton or greater HVAC units do not dishcarge condenstion to the sanitary sewer.
' If defic€enci�s are found, the property owner wilI be notified and must make cor�ections immediately. The property
owner will need to schedule a foliow up inspection. ]f a certificate of compliar�ce is rsot issued within 3D days o# the
change in ownership, a sewer surcharge of $20 �er month will be assessed and added to the sewer bilI.
Qwner I Occupant 5ignature� 'f �� Date: � �' ` � �- �f �
^� �^,� �f,'
Approved By- ���t -, �_�:z �, G�r��� Date: �� � f� f�..l .�
—!� '¢'- -- `�
i