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0172.97 Sewer/Water Permit/s
/ . . .. __ _ _ . . . ' �. ._ , . . . �_. . _ . . � . . . CLAY TOWNSHIP R�GIONAL.:WAST�',bISfiRICf FINA_L SANITAf�Y S�INER RERMit'; �l.NDIVIDUAL LOT5/�XISTING"BUIL:DINGS' P�oject Lifle° /'/��G�/7%9�2 �dQ� � Location:+ :J/1e��ovrl� (Tl�"�ts� . _ OwnedBuilder 4�!/1 �/�G,S, LLG�" _. . . �o�#` ��� Sl�eet Address "qG�% Ti�, :�� � . . . c�iy> ��.Pni�Z, z�p; `�6P31,•'r. :— ���� Availabiliry.Paid:. ,Conoection Fee Paid; � -� •�� � . InCercepto�Cha�ges FaiB� Su�charges: � • • L'4��E NOTE_ Installalioii of bwldin ' sewer�sfiail be er�the s ecificaYions�of E�e Cla g% P P , Y Township Regional Wasfe=District (see reverse) �All mstallations shall be Inspec4ed liy DlstricC personnel dunng open tiench' �hase and before backfilling wdli,�;sand or'stone fo 31x inches' � above'lhe pipe. JLQ"fooiirig or foundation drains or oth er sources o�,groUnd�o�stormw�ter shall be pe�mdtedrto enter,the.Districfs sandary sewer system. The Disl�ict w(II assume Iio;�lability:for drains;which"are;below ihe-grade lev,el of lhe.nearest downstream;manhole nor �or I$����Is which are ezlendeB tieneath dr'ive'waysaocsidewalks.,TFierbermit holder';(property owner�d$`v�lope� or build'e�) will,be;responsikite For damageslo dhe Dist�ict s seweis system Inclu"din�;Hi�hholes, . � casting's, manfiole lids=and the like; caused by,,const�uction,activity,on ttie buildin�511� Wlilch is tfie subject oftliis'pe�m'it,.the permiC holder Isyalso responsitile. ' Inspections,by the District�are MANDATORY`and�sliall be arrange� by contactm� f��;bls�rlcl!s _.. . ,, . .,, , of(ice aC 844=9200 one:to'four hoiirsan,advance All new construction will tie' pl8ced.oti.bll�ing six months.aiter connection fiasbeen maife.. By signing below; I!attest lhat I`am;familiar with.l1ie:District's §pecificetions`,`and a�rgb[to accepi. responsi6ility for all wo�k donehunder this pe�miL �O7Qfi �', /�✓� ��7 S9sc��/o� . BuildedOwrier Signature Phone � Inspectwn Fee Paid $$5'_00 _✓� ae pians su6 e�� '' &� ,�' �� .�s� „ • yt't.c Permit issued'tliis�day of__���E�s�,�99� o' I �G� � ;0 . n ����� �; . .� � - � ,, �Q ' - . � y� , Jay W:Alley, Utility`Manager �� "� �' ' � � ��/ �o _ C, ' . � �D ' r ��' r� ' P.ermit valid'only witft?2�'�D,��1�n red'ink:_ � , �v f - �24.;�-o,-ssr�;r � �� J .