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HomeMy WebLinkAbout0136.97 Sewer/Water Permit/s \, CLAY'TOWNSHIP I2�GIONAL INAST��IST�tICT� �JNA! SANI7AftY°SEWER PEkMI� ' INDIVIDUpL LOTS%EXISTING BUILDINGS; CI,�Yl�ASTE`WESR' . Project.Title: ::. ' ` " . Locaiion:' �Q-��—T� " � i.. _ _ . � , _.. Owner7Builder. - " f _ _ ' " Cof,#> O ' Slreet Ad'dress '��� - _ _ City":�� -Zip: �/`����-,_ �. ��—=- �_ . _ . � Availability;Baid; ConnectionlFee Baid.: �� — �^- - Interceptor'Charges�Faid:- i - Surcharges: �/� � p�,�,g�� �07�1 Instailation of bwlding sewer sFiall be perlhe specifications o} the Clay Township Regional Waste Distnct (see reveise)_ All mstallations,shall be inspeded�liy blslricT personnel dunng open+trench, pfiasei and be�ore backfillmg witli;sand o�.stone fo six IncFies above the pipe;, 1�-O fooling or founilal�on d�alns or otfieF sources�of ground or stormwllier .shaq be permitted to enter the Disfnct!s samtary�sewer system The Disfrfcl will a's'sumebno:Ilability�foc , , ,,:, drain`s which�a�e below the graeie,level of the nearest+downstream'manhole nor for la�a��ls`which are^;extended beneath driyeways or.sdewalk5. The�permd holder (prope7ty owner dev�loberio� builde�) will�be; responsible_ For ilamage's io the°Dislricts sewer§ system',Includiri� iti�nholes, castings, manhole IidsFand'the,;like, cause8tiby'con'struction,activityPon ltie 6uildin�A§�{d �liich:is lh�eisubject,of�(his permit;�the�perrnit;haldeq fs;elso �esp_onsible�., � 'Inspections;by'the Districi are M�D�41Q$Yand shall'be'arrange� by conlactin� �}i� bislflct.s of(ice:at 844-9200 one to foiwr hoqrs,in,atlyance. All new°const�uclion will be placed on,lilllmg'siz; ,months,afierconnection(has,been,:made: . � ... . Bq signing below I atlesl,that,Lam°famltlarwilh the DislncYs speciGcations and, agiee 10 accept - �esponaibility+(oi a11 work;done under this,pe�mil. '����`�`. � , � , ��� : ��_ - Phone .- /�,( "der/ nerv;Signature; _`�e di�f� ( Inspection'FeeyPaid $5"5�i00 , � -_ ��e pians' ��fed• ' ' PeFmit issued this�0 day of . 9� » �,i � �. � � �C�R�D ,� . _. . ' �,.: � �Jay W Alle , Utildy Maiiage� � `"' Y � ` _.. Permit+"valid��P_ _el in re ink? f�.:n:oi:9er�;i! � ,