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HomeMy WebLinkAbout0144.97 Sewer/Water Permit/s CLAY;:T:QWN$HIR REGION�L .WASTE UISTRICT' FINAL SANITAftY�'SEWER;FERMIT INDIVIDUAL LOTS(EXISTING_BUILUINGS. . �?�F���l[��' .l�;�E�. F'iiijecf 7itle::.. <�� � �n�atipn �.^�, � ) �sis �i 1 5�c�'I�� �'— , • 1 � ,� -- J_ 1, ��\�� � I?,S.I f ����'C ��a�i'11 �(�` ` � -/� — ' � �� Yy) E� ._ l , /� ,wner, �uder. Lol'# . I. �. . Slieet:.Address_ �� il�� d�/'1l�1:>/�-WO��' < r /�G/F%� � .,:��� �!/� �:3�� Ci(y: cl�f�� Zip � i� �v�il�liilily f��iii;-- _. . _Cqiiiiection Fee Paid? �� - - Inleiee�,toi Chairj�5 Paid; ��_� Sii�cliaiges'. `--i PLEASE NOTE: Insfatl�li�n o/ puiiding sewer stiaq he per�2fie spPCltir.atmns of•"the'Glay Townshi�i Reyional Wasle?Ciislnct�(see reverse)e All inslahalions•shall.be inspected by �Districl persrnuiel during "open:trench" phase.and before backiilling,with sand �or stone -to siz, incfies. a6ove;ihe pipe. NO£tooting or-foundalion drains;,or,olhen sources of',ground,orstormwater,,shall _.. ..:.e_. . be;�erniilted�Yn.eiiter lfie'DistiicDsksanitary sewer,syslem.,The'DistFic(will;assume no Ifaliility for' drains:whicfi;are 6elow:flie:,giade.IFVeI oG ttie ne��es`t down'sl�eam inanhole: The permit holder (��ojieity owne�, daveloper�r 6uiliie�) will be Fespon`sihte (or damages;to t_he Disirict's.sewers ' �ysteni inducling inanhole"s', castings?`manhole licis and Ilie like,`caused by cgiistruction activity o�,��r,e;n���rr��,q.S�iP Wn��r, �s;ttiP sutrject:of this pe�mit. his�ccli�ns;hy"Ihe DisGict aie M_ANDATORY and shall bel �rrangeil by contacling the.DistricGs n(fi�:e�a�'8�1�=9200'one to (iiiir hoiifs in adv5nce.`All riew'cofisiruclion,will be �I�ceAron'6illing siz; itioiitfis;aftPi�cnifiSeclioit fias been;iri'ade: , • By sigriing,below;,I atlesttlh:il:laam.fariiiliarwith ihe Dislricl s;specificationstaii�l �g�ee°lo accepf. res�,onsi lily for all work<clone undrr tfiis:permit. � % I � >i i � .. ..i� /./�, �/ ����;^�� � . . � �// ��l� I . � )r=� � , Ruildri! wnri� qnMu�e� Phnnc �F�l�':O,/�/A- �- v_... .� ��a,0 ��j j' ` . �/� . E �-> - Inape�tinn �re�Paid. $55;00 L '�IfP(IIP�i55Uh1�.1p`/� � •. O'N ,! , .� v� � �G�, PennilRissued',Ihis /n. �day of _ '.� LGd . 199_[r.. o � -- � � ' �.. � � .? ����U � �. � . ' - �.� � .� ' J�y"' ' liiley Utility M�n�qe� ,, '', `��.� - O '`.,....� vlAS�� Perrnit;.valid only wiifi CTRWf�s�aHiii�ed ijik., e� �,;;��,��