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Home My WebLink About0192.97 Sewer/Water Permit/s rx'.A�� l ' e i,t. � s � �� ,c� � " . � ' , �r�'�,�'Zl�-�� 1 r'Yl.��i P�^. o� i�G�'��I rrr.f��'if'i�Fsi�y(�'�,�S . . � .. ' .o . .'�— a�`�� . , . \ GLAY TOWNSHIP {2�GIONAL WAST� �I�tI2IC� FLNA__�$ANItARY SEWER PERMIt � INDIVIDUAL L07S/EXISfiING BUILDIN�3 � Project TiUe: �� Location� \ Pm �- J Owner/Builder. �� Lot# � street Add�ess 9"'7L� g X��-y:�.�i��Y cayr. /��,�w0 zip:��Gd�2 - . Availability'Paid; � Connectioo Fee Faid: 7.�� Interceptor Charges Paid: . Surcharges '� • �LEAS�r10J�; Installation of building sewersRall tie perthe speGficatfons oPdlie Clay ' Township Regional Waste Dislrict (see reverse). All inslallations shall be inspeded by, District. personnel du�ing°"open trench" phase and, 6efo�e backfilling witfi sand o� stone lo, �Siz inches aboye.the pipe. N9.�ooling or,foundation dralns, o� other sources of ground.or siorriiwate�; 'shall be permitted to enter''the DisUict's sandary sewe� system, The DI§trict will assuine rio Il"ebllityTor . .... _ , . .• . , .. . : drainswhich are below the,grade level of the nearest'downstream,manhole nor for la{0ra swhich _ .. , . are.extended 6eneath driveways'or sidewalks. The.�permit�holde� (prop@rty owner deJ�loper or builde�) will be responsi6le. For damages to ihe DistricYs sewers,system fncluding fnanFioles, castings, maiihole lids and the like; caused byconstniction activity on tfie tiuildmg sile wliich.,is lhe!§ubject'of this permit,'tfie permit;holder is also responsible. Inspections by the DistricT a�e M_A.NpATORY and shall"be arranged by contactmg lh�.Distrlct!s office at 844=9200':one to four-hours in advance: All new construction will_be placed 'ori (illling six months,after connection has been made: By signing below, I aUest that I am familia�with lhe Dislricfs speclfications.and ag�ee:�o,accepl responsi6ility foralPwork done:under this permil. � _ ��r'�c�!?7.Bt'/�� °�� . Buil¢ dOwner'Signature; Phorie �� , � Inspection Fee Paidi $$S,QO � �te pians sub „� ` y � CTRIND ° Permil,issued this,�Zday of 199:�: • � c; l/:� ..'� � y� , � l' . Q . W: A1 y, Utility Manage� �y�'�/pq�G10N�L�PS�� Fe�rriit valid only with CTRWDS��I 1n,�eA;ink'. I INx17-01'.BBICII