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CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SANITARY SEWER PERMIT
[ ] Conditional Permit [x] Final Permit
INDIVIDUAL lOTS/EXISTING BUILDINGS
Project Title:
Michigan Road
Stanford Park sec 1
location:
Owner/Builder:
Ryland
lot# 23
Street address: 3468 Windy Knoll
City: Westfield
Interceptor Charges I?aid:
Zip: 46.074. .
PRI:
Coun_ty: tl,!miI1C?'L ~_._. __
-r- -,,-.- - - -
. EDU Fee:1650.00
Application fee: 100.00
PLEASE NOTE: Installation of building sewer shall be per the specifications of the Clay Township
Regional Waste District (see reverse) and any conditions noted below. All installations shall be inspected by District
personnel during "open trench" phase and before backfilling with sand or stone to six inches above the pipe. NO
footing or foundation drains, or other sources of ground or stormwater, shall be permitted to enter the District's
sanitary sewer system. The District will assume no liability for drains which are below the qrade level of the
nearest downstream manhole nor for laterals which are extended beneath drivewavs or sidewalks. The
permit holder (property owner, developer or builder) will be responsible for damages to the District's sewer system.
This includes damages to manholes, castings, manhole lids and the like; caused by construction activity on the
building site which is the subject of this permit
Inspections by the District are MANDATORY and shall be arranged by contacting the District's office at 844-9200
24 hours in advance. All new construction will be placed on billing six months after connection has been made or
w~~ ~ater is connected, whichever comes first.
~he District reserves the right to inspect all sump pump connections to ensure no illegal
~~~ctions have been made. .
~have received a copy of Ordinance No. 9-13-99 and agree to follow all District standards. Building
has a [ ] crawl space [ ] slab or [x ] basement that [ ]will be finished with grinder pump installed to
comply with elevation requirements [x ]rough-in plumbing with qrinder pump installed during
construction, [ ] rough-in plumbing only and qrinder pump will not be installed during construction, [ ]
no plumbing in the basement, . (Please check. appropriate bOK)
_Conditional Permit Terms:
[ ] NO CONNECTION to the sewer until further notification.
[ ] Certificate of Insurance must be on file with CTRWD listed as certificate holdeL
[ ] 48 hours notice before work starts on manhole core drilling or cuts of active lines
and District inspector must inspect all work before covered.
[ ] All District fees will be paid in full.
[ ] Approval pending Districts review of plans.
[ ] Copies of approved permits from appropriate county or city agencies for work in
the right-of-way road cuts or are required.
[ ] No occupancy until further notification
[ ]
All Conditions have been met and final permit issued
2005.
By signing below, I att st that I am familiar with the District's specifications and agree to accept responsibility for all
work done under thi )ermit . ,
846-2962
Phone
Permit issued this 10th day of February, 2006.
~ 2 site plans submitted.
JtuiJ{-(}JjJeft}// CTRWD
Candy J. Feltner v ._!,2
Director of Administration & Customer Service \~. f
sv \~, ~'"
Please note chanqes on lateral soecification as of Jarlli!iiv. 2006,'!l~s
, --=.::'.:..~
Permit is valid for ONE- YEAR from the date issued.
Permit valid only with CTRWD seal in red ink.
Pennit-rev.01-13-06cf