HomeMy WebLinkAbout0003.92 Sewer/Water Permit/sCLAY t0WNS11IP REGIONAL WASTE DISTRtCT.
FINAL SANLTARY, SEWER PERMIT
INDIVIDUAL LOTS./F.R,LSTtNG RUILDI..NCS
PROJECT TITLE
L.00°AT I ON12604 c L-A-Y Gf,uXYL -PdfO
owNE'R,/nNILDER
LOT A
s'rREEI ANDRFSs WT`f
C I T Y 7 t P 4(nO3 z-
4I.1. REQUIREMENTS IIAVE BEEN MET_ G('J
CONNECTION FEE F'U. ef
Yao-- INTERCEPTOR CHARGES
AVAILABILITY PD.
PD.
Tim BlftLDtNC, SEWER SUALL BE 6-k PVC,PtPFj MEETING 'ASTM SPECIFICATIONS 3034-SUR 15
PIPE. MATERIAL AS'IMN - 1784 - ALL GASKtTED JOINTS ASTM 1212 - ALL CASF,FTS! AS"tN F-47
PIPE WILL BE BEDDED IN FILL SAND OR NO.A - 9 or II STONE To A, DEPTH OF 6 INCITES.
AL1: 1.N5'rALLA'1IONS SHALL BE 'OPEN TRENCH" INSPECTED BEFORE BACKL:ILLING W1"I11 SAND OR
STONE IO 61NGUES ABOVE IIIE PIPE'.
NO FOOTING OR FOUNDATION DRAINS OR OTIIER SOORCES OF .GROUND WATER OR STORH WATER SIIA
'BF PF•RMII:TEO 70 ENTER Tilt'_PUBLIC. SFWtRSj SEWER INSPECTIONS SHOULD BE REQUESTED AT-.-
8(i4-9200 ONE TO FOUR HOURS tN AmANcti
I.T IS THE RESPONSIBILITY OF THE BUtLDEA/OWNER" 1-0 NOTIFY THE DISTRICT. WHEN CONS'tRUC"T
HAS BEEN COMPLETED, IN ORDER TO BEGIN 'tilt BILLING PROCESSs
I 1IIY E REAM TII
L // ORK F CONDITIONS OF Tills PtkAt't AND AGREE TO ACCEPT THE. RESPONSIBILITY Foto'ADONE UNDER THIS MMIt,
y ..
Blilder/O ner Slgneture,
Contractor. Nam6wa"awM N i, tldL'•___ _ _
• `e. • AddresajT. �L?b+��1hlP_�=_.
Phone
Inspection/Application fee Yaid!
;.PERMIT ISSUED Tilts DAY OR �y_LP4�L�lE%t.199�
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maiv`in P I k e j Utlttty NAn"Ager
( CLAY TOWNSHI@ ftniOHAL WASTE DISTRICT.
FINAL SkNIT`ARYSEWER PF.RMI.T'
INDIVIDUAL. LUTS./EA'LSTING BUTAMI.NCS
PROJECT TITLE
.LDCA;r.ION
OWN ..ER/RUILDER
I.OT pSTREET ADNREsS IISZ kMMA ef4vYUCiCY' ltJ -_--- -
C I T Y Ctl w15�, 7, t o 4603?-
AIA. R'EQU`t_REHEN'1'S HAVE BEEN HF,T
CONNECTION FEE, PD. CJ�JL) ' LN`rERCEPTOR CHARGES
AVAILABILITY PD._
CD.
411E I)IIJ1.UtNO SEWE•,R. SHALL RE 6" PVC PLPE.i HEFTING ASTt1 SPECtrMATIONS3014-SUR TS
PIPE MA'I-FRI,AL ASTHU - 1,784 - ALL GASKETED JOINTS ASTH 7217 - AI,L. GASFETSI ASTH F-4
PIPE WILL BE BEDDED tN Ft.LL SAND OR",NGA - 9 or IISTONE TO A'DEPTH OF 6 INCHES..
ALL, I.NSIALLA-PIONS SHALL —BE "OPEN TRENCH" INSPECTED BEFORE BACKPILLING WLTN SAND OR
STONE TU 61NCIIES ABOVE VIE PIPE.
NO'FOoTAW; oft POUNDATION DRAINS OR QTIIFR SOURCES OF GROUND WATER OR STORM WATER Sli
BE.PERMLT,TFD.TO FNT'ER THE PUBLIC SFWtRS,i SEWER INSPECTIONS SHOULD RE REQUESTED AS
844-.9200 ONE to FOUR HOURS IN'AUVANCLa
IT IS Tim RESPONSI6'ILtTY OF THE BUILNFN%OWNER TO ,NOTIFY TIIE 6ISTRICT WIEN'CONS'tRUC'
HAS BEEN COMPLETED, IN ORDER TO Wig 'Lilt BILLING PROCESS,
T N--Timr READ TTCONNLTIONS OF Tl1IS I'tIiHL'L AND AGREE TO ACCEPT THE RESPONSIBtLtTY F
AL /�NORK DoNF. UNDER THIS PERMIT,
Bonder,/,Omer Signature.;, /I""
Contrnctoi tlame5�/(�74M(�f1w� NAL
Address' jL IIAA( Jt �/hJP 7
Phone 07j-7�]A
In-ape,ction/Ap_p.1icatIon fee P91dI
PERH'L;P ISSUED TTILS .•...r��Y CL hL�E%( .199__ —
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