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Home My WebLink About0149.97 Sewer/Water Permit/s CLA•Y, TQWNSHIP I2EGIONAL- WAST� bIS'f�tlC? ;F I_NAf�SANi7ARY}SE W ER`PERMIr . . . I'NDIVIDU�L LOTS/EXIS?ING BUILpj�$ _ � . , ,. . . '�tICHiG�N ,R�AID Projecl Title'. - ' ' �_ S Localion: '��^+� �"/L�O� , Owner/Builder: , %�� „'�"��/�-p�J -' Lol,# u�� St�eet+Address,�. 9'99/��-�� ' it:QU -/2'B,� City: Y`� • ZiP:'_ _ - � y ,—y� � Qyaila6iliiy paid: Gonneclion'FeesP,aid:,_,�10 ✓ - Intercepfor Cfiarges Paid: '� Surcharges;- v - eL'E�E NOT� ' InslaUatron of bwlding sewer,shall be pe� ihe speciflcations'of {he Clay' Township Regional Wasle Districl (see reverse) All?installations shall be`inspecie� b`y Distnct personnel du_�ing 'o�en trench pfiase and before backtdlmg with sand on stone to six �nches: 'aboye the pipe:,N4,footing or foundation d�ains o�other�sources of ground or,stottriwale`r, shall' be'permdted to enter lhe DistricNs�samtary sewer system The,Dist�id will'assume noJ�abilily fo� drains which are below the grade level o/the;nearest downstream manhole=nor tor 18ler�is which __ - , are exte�ded;beneath dnveways o� sdewalks Tfie petmd holde� (properiy°owner, developer or builder) wip be responsible. Fo� damages,to�the, Disinct srsewers system, includirig ,manholes, . casiings manholelids and the like ,cau'sed by,construction activity on the„buildirig;site'whicti,is : . ,y thefsubjecf�of-ifiis�permit; therpe�inittfiolder'is also,�esponsible; Inspections�by t,he Disirict are MAND/?�TQBY arid shall,be arranged by contactin� ih� bist�ict s office at=894=9200 one io four hours in advance. Qll;n`ew,construcLon will lie placed ori billing six. monihs�after'conneclion:;has beenamade;� . . , . .. ; _,,.> . By sig�ing below tl allest3iJiaP6am familla�:witfi lfie DistricYs;�spec�fications and,agree to accept ._.,,. . responsibilityfor all work done under this,perrriil. • � C �' �' � � �iu-4 , ��b�_��r� , b Buil r/Owner Signature Phone � , � __ � y Inspeclion Fee Paid.�$35 00 v�`' ��it�pians s n�ed �Y�� ,5 �% r-�. Permil issued this�day;of t � ' 199 7 � �� 7 '. ••r., : - �, � . �yja � ay W. Alley, ui�i��y ��ger, > RE�Iq�40��` . : Permit valid;only-wi'th C?RWp�seAl in red'iiik. „��•,r.or:sc�n.