Loading...
HomeMy WebLinkAbout0178.97 Sewer/Water Permit/s CLAY TOWNSHIP REGIONAL INASTE DISTRIC�T FINAI�SANLTL&1LSF.Y�f�R_QELt�LL INDIV IDUAL_LOT_5l�X1S�N_G_BU�LDING_$� Project"Tdle.= "�cc1''e,.� wuo�� � � . . - YL� . _ . .. •' Location, � � � ' �` Cu ���2c�. e__. . .. . _ _ _ _ � _.t:n'f c X �,cr.�+e.s.- `QwiledBuildee � � ' - Loti#' � 7� LI ;SlreelAdd�e55 :� ` �'a"'`�'. ��'SS�w,'t���/ �o.�r�-t- . . C11y; C,n„C Mc, � !ZIF1. �",(o{U J,"Z= � Availabilily Paids, � Connection Fee;Paiii:- InEe�cepior Chaiges;P,aid: � Su�charges� �� � pL'EASE NOTE:. his(allatioii oi'tiiiilding sewedsfiall' be per'the�,speci/ic�fions of"�tFie 61ay Townsliip'Regi'on"al Waste DisGict '(see re,'verse). All installalions sfiall`he inspected by; District rersonnel d�iring "open tien"cfi' phase and befo�e backfilling with saiid or stone to siz,inches above tFie pi�e.:NO footing or,(oundatio'n°drains, or'oihersources o(ground ors_lormwater,,sfiall be �errii�ilteci to eMer tfie pistricPs sanilary•sewe� system, l;he Disl�ict�will=assume'no lia6flity fbr- � drains which are�•below,the grade leyel�o( lheHnearest"downstreams manhole�:� 7he peFrrilt'hdlde�• (propeily�owner; developeeior builder)'�will tie� responsible f'or dam`ageswlq tlie�DisiricYs 'sewers�� � systernqincludiiig riianholes; ,c�stirigs, manhole lids!and;,tfie,,like, caused by,con'sirudion activily' on the tiuildif5g sil'e�whicfi`is the�sutiject of��tfiis"pe�niit�. � . � — - Inspections 6y tlie �ist'�iclpare MANDAIORY:aiiB shall '6elarrangetl by contacting ihe Dis(nct;s office at A4'4=9200 one;to,(our hours�i�'ad'vance'..All neva'construclion will be placed on,billing siz' months after connection has�.been made. • ._. _. . By'signing helow;1�altest that I-am familiar wilti tfie Disl'rict!s specificahons;and`agree'to accept; . respoiisitiility f�r all work doiie under:lhis permit, a HAM/��j -�.�,-, ��1� s� `���'��6� °y- Builder/ nec ignature Phon ,�p � Inspeclion Fee Paid $55;00 _ ' sitep`ian �M�ned ����D Mp � 9 c~i Peiniil issued;tliis,�;day of�99� ,;r� a; . 9� O . �.oky PS�� ',J Y'1N:, lley, lJlilityE n ge : ` /,�j�,�� `��/pREGIONa�'�L1 , P,ermil yalid only�wilh CTRWD:seal l�'ied"ink. , �ev;0120y9f' .