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Home My WebLink About0180.97 Sewer/Water Permit/s \ CLAY TOWNSHIP°'REGIONAL:IIVASTE pISTRICT_ �� Fi�vH�� onr.utnov=eC1NCO DFRMIT� - "1Npiyjpl�A� � OTS/EXISTING B��DINSz� '��Y �AS'I'E W�ES'C Projecl.Tille: �� ,_, - • Localion.. J�?� �'� �T' '~�TTr�,� ' _ , _ — � Owner/Builder. �r l `�' ' ' '' ` " � .��'rS � ' ��J; _ .. .� _ , _ oD Lof.# (�� Street Address � /v �� '"v� . ' - ; 9 ,. Cily,r ��'��'�'_` .Z�p:� :a' :� C� � Ayailabilily Paid Conneciion Fee Paid: %�� ' ✓� Su[char esc �� Inferceptor Clia�ges Paid; _ 9 ' �L�EA�E1dOT� Installation of buil_ding sewersfiail be per the�specificaUon's of',the Clay ... ., � Township.Regional Waste District,(see reverse) All inslallalions shall be inspected by District personnei;during open 'tiench" phaSe and be`fore backfillingrwilh_sand or stone to sfz inclies atiove,',the pipe?NQ•footing or"foundaUon d�ains, or other sources;o(ground or stormwater, shalG. tie permitt'ed lo enter4tie.Dislricfs sanitary s'ewer`system:,The Disl�ict will assume no lia6ili'ty for' drains'which,:are�beiowdfie?grade�level o(the nearest;downstream inanhole no�tor laterals+whicfi �are=ezlended beneath driveways or sidewalks. The,,permil"hoider(property owner developerot; . tiuilde�j wil[be responsitile For damages lo ;the District s sewe�s=systerri' including,manholes, �castings manliole lids antl the like_; caused by'COnstruction activity on the 6uilding,.site which is 'ttie;su6ject'of;lhis.permit,`the'permit`holderis,also respons�ble. Inspections tiy_the Dislrict are MANDATORY and shall be arranged by con_1,acUng;tfie�Distnct''s, .. 4. . otfice at 844=9200,'one.to four:.hours in advance. All.new,construction will be;,placed on biihng six months atte�conneciion has tieen made.., ;By,.signin'g below I±attest ihat I �m,familiac with;ttie:Districtrs speci(icalions and agree to(accept ;�esponsi6ilii,y for' I work done'under this permit. �° ��a-�aU�� c��,P� �2�3 � a�9� _ �; �J �Phone �o HAMl(T� . $uiidedOwn'er`Signalure� \�Q ,y�v _ � �2 site plans'submit �. . G,f, � Inspeclion Fee;Paid � $55 00. ,� J,1 199.' �: Q' O Permil issued this��day'of._�[1�� ° ��\�,,� ° e�, �i;, '- � � � � , - . � 9� � y�W. IIey,3Utilily Mana"g,e`r i, ` � � �tiw `� �� ap,� �ysh�P � ��Fed,inli, ., Perin�t valid,only with : ��es'►�- fev„11-01�961cj1 .