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HomeMy WebLinkAbout0143.97 Sewer/Water Permit/s CLAY''TOWNSHIP (2�GIONAL WAST� dISfF21Ct \ FI_NAL SANitAI�Y S'EN1ER PERMIt, INDIVIDUAL LOTS/EXIStI G�Q�1(�Q��� !C°��l:tYAt?.f�� :(�:_.�� - P.roject!Tilie: . Location. , . —� '.-_i� �� ��,: . Owner/Builder:, C r�:2`.e' " �/J'l�-� - Lol�#� %/ Street Ad�dress , �Yy%/ ,c�ty:: �C ,li��'1�2�p �/�3� _ , � Availatiildy P.aid` ^Connection.Fee°Paid': _ lriterceptorCfia�ge"s Paid: �` Surcfiarges; . � - •= ' pLF�SE�IOs�+ InstallaUon of bmlding sewer shall be per tHeaspecificaiions of'�Fe Clay TownsfiiprRegional Waste Distnct (see reverse) All installaiions shall be mspecfetl by bistnct personnel during' open t�ench '�phase ancl before backfilling wdh sand or stone !o Six,incfies, � � �above�the pipe.��0 footing or'foundation drains; or other„sourcesaof ground or�,stormw�l��, shall. 6eXPermitted:to.;enter�tfie Distnct s`sandary sewer system.The Dist�ict;will a'ssume no IlAblldy for� drains wfiich a�e 6elow`th@;grade leyel of the nearest downstream�mmanhole�no�'for Itllei�l`s which are eztended beneath d�iveways or'sidewelks;;The permit holder (property owner dev��oper o"r' bullder) will bg 'responsible. For�.damages to'�he D�slric't!s�sewers system includin� iii�nholes; castin'gs,„riianhole lid5 and�the like, caused by construction acliviry on the•6uildin� �it��,whicfi;is; _ ,. ;the,sutiject`of'this permit,`the pennit�fiolde�is also responsible. Inspectionsrby'.tfie DistricY,are MA�_pATqBY dnd sfiall;be arranged by coritackm� IIi�,bl'slncYs� ot(ice;at,894-9200 one'to f.our hours in7advance: All new?construction will,be placed on.bil�ing six; monlhs'after connection has tieen'made, ' .. . . .�.: � .� _ . �-..� .. „ By signing below; I atCest lhat I°am�familiarwith the Districts,specifications;and a�ree`ld 9,ccept+ respon I�for;all wo� .do �u ' is permi�. �/% � ,✓�7���=�� � � .�;;� uilder/O ner igna ure Phone �`;�4"` "'�/�jo_ ° ,/�^�2 ry � InspecUon Fee Paid: $ 5: 0 vz`si`�ians�� Inea �� J e'oG. U �9 . . � .... . �' � � � . � , Permif issued ttiis � day of 199� `'' n�i��,� -�'. � o ; � (/�', �ti°�" ;Wl' ley, Utility,Manager ��'yja, `�O� � -. '�FGIONAIWRS,. .. - n.,e C:, .. Pe�mit;valid onlyiwd'h GTRWD sea�;in red ink. ,e._�;,;,u,,aar:�;�; _ . t \�\. _- �� .,.