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0191.97 Sewer/Water Permit/s
. a. - " ,_ . . . . - _ ._ -, -_--- CLAY"TOWNSHIP REGIONAL`1NASTE DISTRICT FINFlL<_Sq�(U�BY S�WERP_ERM1I INDIVIDUAL.�:.9_L$lEZ(1SZING BUILDINC,+$' �Y WAS'1'��'��ST . P.FojectTille:_ . . _ _ _ . _ � .._. y E.. L'ocation` - OwngrlBuilder. ,. . , _ . - Lot# �'� treettAd"d�ess ���''��' ° � ���� � ��. . a i �---� � - � - / � Ci,Y:_�„�,��=� Z,P.. 7CP�c� Availabihty`Paid:. Conneciion?Fee=Paid ' !�� � � �Interceplor Cfiarges+P.ai�:< � Surcliarges: �0�� � ;QLEASE NOTE: ' !Installa�i9n of building sewed sfiall 6e�p.er the specificatfons?oi ihe Clay T,ownship Regional Waste DistricP (see reyerse) All in"stallations shall be' Inspeded.by bi`st�icf � ' personnel during "o�en�i[ench' �liase and 'be(ore, back(illing witfi:sand or'stone lo�siz incfies atiove ihe pipe;;NO footing or founAation drains or othersources of ground or stormw,eter shall be;pe�mitled to enterthe Dislnct s�samtary sewer system�. The Dist�ict will assume no Nabihty For�„ drains which 2re below tfie gr�de IeVel of the,fnearest downstream manhole nor tor laterals which - -- ° ro ert owner developer or are eztended,6eneath.d�ivewTys or sidewalks.`The per�mit holde� (p p f Y? tiuilder) will he•responsible Forciamages lo the Dislricts sewers system„includmg m9nholes,, castings manhole�lids anci the like;caused By,construclion activity on'the building sile'which is the.`sutiject of this pemiiC;,lhe-permit holder+is also'r`esponsitile:„ Irispeclions by the Dist�ict are MANDAL9�3Y',and sliall be arranged by contacting the;districf's ' oifi'ce at 84A-9200 one�l�`(our,hours�in�ad"vance.,All new construction.will be placed ori`,billmg siz: monlhs after coniieclion has'�een�n5aile. _ - By signing tielow I attest%thalsl ani (amiliarwittr the Disthcl s^speci(icalions and,agree to accepC; �esponsibility'(or;all workjdone unde�,lhis'permit. ��7a'.�6 1 . � C�� Biii der/Ow`ne�Signature P�� e�• ��� ���� -• ' � � �ite ��submitled' � �(�� Inspeclion Fee'Paid. $.5_5 OQ 1� ' �` _ � �� 7/L%A�P� ,99 o CTRWD Permd issued;tfns,����"�y of , <;n m ^r- �. � �/., � h�- °� p��, ay W. Iley, Ulility Manager 'y�,S,�pRf��aPoF��*��`4/ permit valid only.wi _ TRWD se3l�n�red+ink. re�:.i;;�,.�e��i�