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Home My WebLink About0201.97 Sewer/Water Permit/s � - ' r � . , sy� .�sµ'i;a��b,ir� d'"`��r: . . ��° . � , . , i�:��+�1'� ' , . , . > .� ��"�,� ��s� > . . ' � r ' �ai 1�`�' r. . - , �. 1�1.a.,,�. \ . ._ . � .,� �1 t� . i � ^ �,3� }�' K . , ° . , CLAI(TOWNSHI{' ��G�ONAL WAS'�E bl��'F�ICt? �M � �c� ti ' ,� . � r a . ' �. F�ive�LcA►I��I1nv�tL'u1CqDFRAI�IT*,� r l r � ./�, t�x�+ ., t .• i+.GR] Y £ { F .� � hl .Y 1F14N � 1 �. f A � �� ' . w- �( i r � .r7� i "� � • � IhDIVIDUAL`LOTS�I�XIStIhGpBUILbINCi�� 5 t y; i; , �� , ' , , •' �7il..r � �zx � ". � �e'P �4� .u"' ) > �3 _' . �� . `�N� 't W °i -An�k�°t r i .rt e� r . . � � .. :: rY a�: ur.� te�' .�r le t 3i � i1 rY ' _ m _t�/ a � ' ProJect Title /%/G��{4�:Q�y � i �KL7� w79r 1 �` ..-� �it1>p'Y�,' � � � r_ � Ni �'E�i.n '4 • . � .a ��.� ':` � � "� a i"1l Nl � .� IMA .�.T. . � r{ i+ J.� I . � . ' ��GoriiG �rcerl � k. , .,� �- ,_��..� �§.vc .i Location: �'"' • � -y �' i � "�°� '� ? wn, L� � � , �,� . ..��`�J ��E15'fa� xi �4`'� t��• � � h { � +Y.Yrai�e d ''"�L � .. . , yOwne[/Builder� qp . � �'�a� t t�i r x .'� � 'fY d �` htjr - . , . ,k ° a� .� , ,��/92 .l w,�.uae�/.�ri ,.,�� .� Lot:# ol9a�. Streel,Address A �Y , s� �; w��,�,��V ,F,, . . .. �� a Zi � ��p��'�° �'°� '�` a�Qi7?7G� .�.u> � p � . t,�,,<. . �r , Ciry . - - ,. � � - � �d�,� �cd�� "t� ��r" ,s �� s s r i qary�nR�Py'�4,�°''4 . . . � p � ' i : e14tr��hl{ � , i{�/� �d 4-�E��1 s � �t - Y '" "'' ��a'1 Conneclion Fee Paid �7J�d `� ��t'� ' � � :` Ayailafiility Paid;.� ;f. � ,�3 ,., c � � k� .� �r`1 �z y�; , . � 1�{ � �aI Y a` .- - . __ #�� 1�?7 �.�_'i4� ' . µ ��"n% �°��..�.Z.�whri t�i ��pE�, � . , tnterceptor Charges Paiil � �Surcha`rges - � y ,r, c�R� B a �t 1 r R 7 � Lz� ��r, ff. . 5 �. � w. � v , � ° � a'�s,� �' � �P• 1 s y, � E�� t �jr,;:�1 � �F . � �.N x n�Y.�{� '� .ry r �^�., � �s�t ?3��,t7 ��t�� sro � �� . ' ��`S�' 9� ... 5P'��`' C i¢ i 3 � p b F A SE'N O TE:� ' Inst_allation of'building sewer shall;be per,the�speciiicaPtions b�,tli�'�� : , . ?v nK A� • Township Regional Waste;Distnct (see reverse)y All Installations sliell be in s e c�e c� by - personnel during'"open trench phase and before�backfilling vnlh sand or slone;ylo $Ix yinches - ' be permitt dto e��nl�erthte Distnctsnsanitary°sewersystem;The Dlstncgwiif �SSUme'h8�1i�a6fli� for;'_' 4 y�'r. v.�.. drains which a�e;below the; rade,level of the nearest downstream manhole no'r For I ae��ope 1 o i�� , � g are exl`ended beneaih driveways or sidew9lks' The peRnit'holde�r (prope�ty owner, � • builder) will be responsitile. For demages {oPtlie Districts sewers;sy`siertl lncli�din� ►��icFi i`s� � � � casti'ngs manhol'e lids aodrthe Gke;,.causecl by.;constiuction acllvityon�t he�b�llclln��s�il�yt�� ;�,h ' the su6�ect of,tFiis permil, lhe permit�holder Is Al�o responsible'��'��„Y�A f f A�;x=+�j'�m r� , �,,,, 'Y .. _. .. . �. KtiL �lF��i�),` '�� S1�9r°ti��+., i �^t �A i.� � Inspections by ihe Dislrict are MANDATORY`and shatl be arranged by con�ecling th�'bis4ricts -� ' office`atF844-9200,one�to four hours:in advance'All new;constmction wlll tie plAced,i�I�billin� siz; ° � F; � �� rrioriths after connection,l9as been made'�1� '',"e, r��ti' ' . �,,� �; �,�� . . . ,,, � , B' si-nm below I atiest that i am tamiliar vntN ihe Di'sl�icl s speclticaUons and agree Io£accept Y' ,9 9 ' • responsibility tor'all�work,done under,this perinil , '= ' • i,:� Y,�'� ' ' `, � �' rt , � , . ! . .. . ' . c r f{ 1r�� f.,:` 1' ' 1 a �, i� � ^'�. 'hl L'.Y{-il�' . � r, ,� �: !d/7 S9S .18%dlrr� �x � � � ,d�� !� �/� . , , � '�' � � `�'' ' P,hone Builder/Owne�S,ignature . `}, t, ". ��0��a N.Rr}�J� -� ' '4 � �slte plans subm�� ` ` " lnspection Fee.Paid �� s� �• p . ` ' ' . a � c �� . Pe�m�t i55�ed in�5, ✓'"" aay or;�Z��ss� �Q' . ' < c.� • - `�� . �;�� , . �. �.. . V. ' �� , . � �i • �1. � ay'W.A ey; Uiilily Manager ' ;, ° ' j0 ,F �• «- " . � l,� •'�,;� �`� . :ty � �`'j'J'y , , �' � ed+iiik:. fi . Permit va6d orily �� _`. �. � .i � � , -��(no,.ssioi!: . .. , - . � - .. . . � � �.. � . i . . •- ,. . ...' . . , � ,''�., - , ' .