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0195.97 Sewer/Water Permit/s
�t � �fy�,F Ir . � � ��,.•.n• � 't.. ^�t` i., . i lv "'��1���Y'�f��'�.�Ff � -.�i IT'�y����� �",dk � �.� � � � �. e" � v, �f tr�l�d+{3i��'f�'U? ��� t h - ��SI,��'aj�w�,��§h��n ���'��f�f��" y�'� ' ' _ y � � �1:;k`1�j£'��'ar � "n a�sF�'o� �t�e. �y�y�ty,�s�, f�� n �� � - e..� +w'!� �i {- r a' !4� 2y i [ b }a �1 e F r�'x "`P.:.�. \: . CLAY,°TOWNSHIPyREGIONAL,WASTE,DISTRICT��,; � � �; . - SF . r, , �- � :. � .F�ALSAhITARX 3EWER P�MIT�� F" d .. . ,v . . .. a ,� ,m�.•a . . . . � i�.i., � � < < «. r.:�� . �. i . , . ininivini iei� i nTC�FYisTiNr gUILDINGS, ' : _ � 5„ � � . , � �-'ll aI' v t�) e�91' . . .1 1'• . � ,s 9 f h U, .• ,k . � ra � . �.' 4�o-, Weston Ridge' " '�� "' ,y .�' , :.s .� ' ,.ax_,• . Pro�ect Title: _ , 's, i."� F :� , �, x .� n _ . Locatioo:� Michi an Road » �_ -- ' "' _ „_ � . �„ � *' , OwnedBuilder� ' " " ' � � � _ „�, � �,3� �, /� �/� � �+ .}- ; .. . � �✓ StreettAddressY �� %••� �/'G�-�/YJ S� �`�'['f V/_ Lot.# �.J �_ - _ m� �, � ��",�,,tiy,... � Cit Catmet Zip: 4Fn�� . � W� �� . .Y .-r ik„Fi"•: -� I. �P 1„ �. � '37�! T'"°��-!r- . , . . , t t��� ,l: L '� x � .i � Y", (vr� �. • /� / , Availability Paid: � _ � - Conriection Fee 1?aid. • 7 ,<d� `^n�'��"'"".'" ' ' . —_ . . ;, , �l€prk :*7 ' ,.a � .i.. ':•,'�., +���;`�`���:�4; � a p, , - ' . �.-�a . r-�r ��. �,'nu�'4c°,mf�t-� � Interceptor'Charges�Paid,:'- » �Surcha_'rges.� , , ` . - . . 3F j�: �5 " �_ ' � � �Vt��� . � .. ' ��� ���� rt��� . pLEAS.E..t�L01E,; , Installahon of bwlding�sewer shall be per the,`specifica6ons�o(the Clay � 7'0"w`nst%Ip Regional Wadte �Dlstrlct (see reverse)�,All InstallaQons shall be Inspected�by-DlstBct. personnel dunng."open�trench.� phase and befo[e backfilling wlth, sand or,?stone�ta�six�lncfies - above�the pipe:;�footing,or foundallonYd ains;�or otfien3ou�ces of ground or 'stormwater`;�shall . be pertriitted ro enter ihe Distnct 5 sanifary,sewer system, T,he.D�sUict�wifl assume,no ttabllity�for drains whicfi are..6elow the;grade�level of the n,ea�est�downstream:manhole nor fo�late��el5 which are>e`"xtended beneath driyeways or=sidew'alks' The permit fiolder ('prope�y owner dev�eloper o� ' builde�) will be re'sponsitile, For damages toe�lie Distncts!sewers `system .incl dingnmanlioles, castingsj manhole lids and the Iike 4c'aused tiy,.construction actlwry,:on ttie buildmg�sde whicfiri's ,� y,�< < � , _ '�` ,�'` ����. the=subject of tfii`s pe�mit, the permit holder+l`s�al'so responsible �,�,�, f � y, z : , , . � stri.e ei: . iu i .n ., n �rr:.,�� .. Inspections`by tfie District,are MANDATORY�and shall be arzanged_by contacting the Distnds � office:a(}844:`9200�one to four hours in advance;:All new constnidion�will be placed on bHling six, : ri months�afterrcorinection fias been made � �k��" , ^ + a��,� , , � r. , � . . , ,,. �.y; � -. F � f vi ' -h.TYY^' dPJ � 1 By signing below,,l attesf,fhat I am familiar with,thef Distrlet s specifcations and agAe�e to,�accepf responsibility°foc all work done+undertFiis perrnit; , ��, . � - r . .. , �- t�� 'r�i,F.it . ,.. . uUe `�� � .. � j- y�� �'r� . . � i � ' �:p�€'i.�Lf-Y�'P i. . l � ��nT 0��Or �i�'�2�� ,. s46;7311 �- s �•,� i, . • ����,:, , Ptione ,... • HAA9! : Bwld:er/OwnerSigna ure + _� . � ��pA�' C'T�y,� InsPection Fee Paid. $3�.24; ✓ ^�2 site plans sutimit(e �� e r{� , - - ;w ^ � °�y Permit! sueil dfii's 'f�. .day of - �j.9 199�. ��� ' ��iP' ,r ; �` �' ' ,m ���,�D� � Y� U � . �;".. 2 y. �' r . , ` � n f� "' ,' � .. � . , h�,� Jay W4 Iley, Utility Manager �� � �ry .. Y �' - � ' x"�- ""ni �`r�'!A"',. ,'� ���p,7� � . • ' r r ni� A• '^ ! '4 R�� . �r,Perm�t valid only�with CTC�!N��g� �n' ed mk:_ � ��.� ¢ � 1F. , ` � i � ,�•: +� ,`�tii � �. . . � i .'}� . . � ��3 � ,. . . rcu 11 01'-98(�II - � . '� .r c )' 1 t ?�..( a i��ly� � �} .. , . � ..,_ .— r ... . _ . , . .. _.`;+ � A��rr t �'Hr. �h�l -A� '��.e�'��-iisjc �l' .` � 7f �� _ . . � • c � 4e '� . ' .. .VS ... � .. . . . .. ., , .r . � ° �:.�_ a��y3'"�` � � ;... ._ . . . , • � !' ' `�, �''t' . r }-d� ., _ . . v,' . . .. .. .. � j;�, °`� �i t 'Xrw�_�:� « . . _ .::i � �- t . ,. � ' . .. ? . . .r . . . :, . ... . :•,,; ...,.,,.:�. . . .��., . . �. .; � �^a �.�sr � __,�_ , ._. „ -- -�- . . �. . . , �- . - ' •-"' . - . _ - _ _._ . ._ - -'�-- ._. '._-� - . : ...�..� . . . -. : .v.�.. . . � f� .:. �r. . . . �. y.. �.� . . . .. .�.�. . .-3_.'Y."" �