HomeMy WebLinkAbout0174.95 Sewer/Water Permit/s
PROJECT TITLE
LOCATION
CLAY TOWNSHIP REGIONAL WASTE DISTRICT
FINAL SANITARY SEWER PERMIT
INDIVIDUAL LOTS/EXISTING BUILDINGS
e?? Ll)
OWNER/BUILDER C h, Yl p t
LOT if CK?, STR
CITY
AVAILABILITY PAID
INTERCEPTOR CHARGES PD.
ADDRESS
CONNECTION FEE PD.
SURCHARGES
INSTALLATION OF BUILDING SEWER SHALL BE PER THE SPECIFICATIONS OFITHE
CLAY TOWNSHIP REGIONAL WASTE DISTRICT. ALL INSTALLATIONS SHALL BE "OPEN
TRENCH" INSPECTED BEFORE BACKFILLING WITH SAND OR STONE TO SIX INCHES
ABOVE THE PIPE. NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF
GROUND WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWERS.
IT SHOULD ALSO BE NOTED THAT THE DISTRICT WILL ASSUME NO LIABILITY FOR
DRAINS WHICH ARE BELOW THE GRADE LEVEL OF THE NEAREST DOWNSTREAM MANHOLE.
SEWER INSPECTIONS SHOULD BE REQUESTED AT 844-9200 ONE TO FOUR HOURS IN
ADVANCE.
I AM FAMILIAR WITH THE SPECIFICATIONS AND AGREE TO ACCEPT THE
RESPONSIBILITY FOR ALL WORK DONE UNDER THIS PERMIT.
BUILDER/OWNER SIGNATURE
PHONE
INSPECTION FEE PAID
PERMIT ISSUED THIS r/?3 DAY OF . Z4 2C 199
MARVIN PIKE, SUP UNTENT
0,--2-to
ZIP /V?c 7a?
rev. 09/94