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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
Location:
Lakeside ParR sec 3
Owner/Builder:
Drees
Lot# 8~
Street address: 13819 Amblewind Place
City: Westfield
Zip: 46074
County: Hamilton
Interceptor Charges Paid:
PRI:
EDU Fee:1650.00
Application fee: 100.00
PLEASE NOTE: Installation of building sewer shail be per the specifications of the Clay Town~hip
Regional Waste District (see reverse) and any conditions noted below. Ail instailations shail be inspected by District
personnel during "open trench" phase and before backfiiling with stone to six inches above the pipe. NO footing or
foundation drains, or other sources of ground or stormwater, shail be permitted to enter the District's sanitary sewer
system. The District will assume no liability for drains which are below the Qrade leyel of the nearest
downstream manhole nor for laterals which are extended beneath driveways or sidewalks. The permit holder
(property owner, developer or builder) wiil be responsibie for damages to the District's sewer system. This inciudes
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 shail be arranged by contacting the District's office at 844-9200
24 hours in advance. Ail new construction will be placed on billing six months after connection has been made or
whe'1\water is connected, whichever comes first.
~"V/:~The District reserves the, right to insp~ct all sump pump connections to ensure no illegal
,on~c;tions have been made. I
~~ . I
~--",-I have received a copy'of Ordinance No. 9-13-99 and agree to follow all District standards. Building
haSa [ ] crawl space [ ] slab or [x ] basement that [ ]will be finished with grinder pump installed td
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 1i11~fng in the basement. (Please check appropriate box.)
~ft;V I Manholes shall remain accessible at all times. If a manhole is buried, it shall be the
~r/homeowner responsibility to correct per District standards.
_Conditional Permit Terms:
[ ] NO CONNECTION to the sewer until further notification.
[ ] Certificate of Insurance must be on file with CTRWD listed as certificate holder.
[ ] 48 hours notice before work starts on manhole core drilling or cuts of active lines
and District inspector must inspect ail work before covered.
[ ] Ail District fees wiil 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
[ ]
Ail Conditions have been met and final permit issued
2006.
By signing below, I attest that I am familiar witb the District's specifications and agree to accept responsibility for ail
work done under this permit. . . :
347- '1?1TO
Phone
VVi"I"iZ)cy I-DtUc; A-S A"jE1<JT
Printed Name
Permit issued this !rJ-/faay of September, 2006.
~ 2 site plans submitted
Permit-rev.05-05-06cf