HomeMy WebLinkAbout0177.97 Sewer/Water Permit/s � ,
. CLAY TOWNSHIP;REGIONAL WASTE DISTRICT � ,
Fiivii. �°��T�DV�CwFR PFRMIT
�pl ID A� � 0T3IEXISTIhG BUILDINGS
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PfOJeCf T111e: MERIUtAN (:ORRI�(�T�.
Locatlon: �o'ID cH��r�/c�y — G!R N�� �'T�T/o�/
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OwnedBuilder. /� '
Lot# �� Street Address-,�iol(� G�J` ��/NGT .
� c��Y:�'AR �lEG z�P: �o.�an
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Ayailabiiity Paid;' Gonnection.Fee+,Raid`. '�'
InterceptorCharges'Raid: � Surcliaiges:
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Q��,ASE'NO�; _ Installation of building sewer sfiall be perifie:speciflcations of th:e_Clay
Township Regional Wasle bistiict (see �everse). AIP installations shall be inspecl`ed tiy Districl
personnel during, "open trench" phase and 6etore backfilling with sand or stone t'o six, inches
above'the.pipe: L�LQ'footing orfoundation d�alns;,or other sources of ground or`slormwaler, s6aIF
be permitted to enter theYDist�ict's.sanilary sewer system. Tfie Dislricl,wlll assume no Iia¢Iliry for
drains which'are below lhe grade IeVel of the nearesl downstream ma�nhe� owner l developer1 oh
are extended beneath driveways�or sidewalks: The permit,holder (p p y
builder) will be responsible„ For, damages to lhe Districfs sewers system including manholes,
caslings, inaniiole lids and ihe like, caused by'construclion activiry on�lhe builtling site which is
the su6ject'of this permit,the permit.fiolde�Iselso'responsitile:.
Inspections by the Dislricl•are MANDATORY:,and shall be4ar�anged,by conPcting the Dist9cfs
otfice at.844-9200 one to four hours`in advance. All new'constNclion will be laced on billin six
monlhs after conneclion has been made.
By signing below;.f attest,ttiat Lam:familiarwitfi tfie Dist�ict's speci(ications and�agreedo accept
�esponsi6ility for:all work doue under this permit.
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BuilderlOwner Signature . . '_ , ' Phone ���, lp�
� � � ' .pianssutim0le �� �� �
Inspection,Fee,.Raid: 55500 ._ _�s�te
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Permit issued this�day�ot «
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� � Fermit valid.onlywfth C , . ,red ink:
'IN.71-Ot'.9BlCjI