HomeMy WebLinkAbout0005.96 Sewer/Water Permit/sCLAY TOWNSHIP REGIONAL'WASTE DISTRICT
FINAL 'SANITARY'SEWER'PERMIT
INDIVIDUAL. LOTS/EX.I.sTING,BUILDINGS
PROJECT TITLE rs '.k� ���'•i
LOCATION
:OWNER/:BUILDER,
LOT a a ! 'R ET ADDRESS�D/I/J7/
CITY �CQJl/�I!(, X Z I P.{o D Z _
AVAILABILITY PAID CONNECTION FEE PD.
INTERCEPTOR. CHARGES. P.D., SURCHARGES
INSTALLATION OF BUILDING SEWER SHALL 'BE PER THE SPECIFICATIONS OF T
HE
CLAY TOWNSHIP REGIONAL,WASTE DISTRICT. ALL. I,NSThtl,ATIONS SHALL BE"OPEN'
TRENCH" INSPECTED BEFORE.BACKFILLING WITH. SAND OR STONE TO SIX INCHES
ABOVE _.THE PIPE. NO F001'ING 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 MANHOT..E.
SEWER'INSPECTIONS�SHOULD BE REQUESTED AT
ADVANCE-
I M FAMIL
RESPONSIBILITY
8'4'4--9 00 ONE TO ��/�J�l7//
(�
WITH THE
SPATIONS/AGREE TO. ACCEPT THE
FOR.ALL'WORK DONE UNDER THIS PERMIT._
GUILDER/OW E SIGNATURE
PHONE e J -O/o
INSPECTION,FEE PAID
FOUR HOURS IN
PERMIT THIS p DAY OF
MARVIty RIN E
revs.. Q9/94