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HomeMy WebLinkAbout0139.97 Sewer/Water Permit/s y�: . � . ' . . . ` . . CLAY TOINNSHIP !?.EGIONAL INASTE DISTRICT ' � ,EIdAL_SANIIA�L�ILV�FiPERD71t INRLVJDS1At" '�41�?1EXI�S1NSz_@V1J.QlNSzS' � Projec� Ti�le��/U/Li//%lX���v" " ' -}- Locatioii�. '""'lu"��'+v� t+ �� ' � � �OwnerlBuilder. �=�/°2°'^ ��� ,7� .. �--- - � Lol #� . _.� :Slreel'A.ddress ���I V!,� �� , .�- �-� _ cry:1!��x/�Yx� z;p:< 7u�'p,��"- Availabili�y Pai�i';, _— Conneclion Fee Raii1; � _ `� �� diiterceptorChaiges;Paid'. Surcliarges: . ;e��qg�xp'[�y Inslalla�ion of`building sewer shall:be�. per lhe specifications of Ihe Gl�y � Townsfjip Regional; Waste Distnct (see:reverse)�. All inslallations sfiall, be �iiispected �by Dislric4 personnel during "open lrench" phase ;aiid b,efo�e back(illing with sand or slone.to six irichies above the pipe. NQdooUng oi'foundabon cJrains, or�other'sources of,ground or stoYmwater; ,sh?II be,perrriit�ed to.enter the Dislrict s�sandary�sewer syste�n Tfie DistFict will assunig°no liability for draiiSs wt9ich a�e'tielow lhe :grade lev,el of'the��nearest.downst�eam manhole. The:permit holiler (property,owner,.deJeloper"or, builde�),will'tie: responsible for damagessio'the Distilct's sewers ;syslem iiicluding manholes; cas�ings manhole liils;a�id lhetlike, caused by consUuction activity on.the tiiiilding'sil_e which is�lhe subject oL tliis�permit:� � Inspeclioiis'by'tlie;Dist�ict a[e �ALIDATORY and'shall tie arraiiged' by coNacting �he Dislricl's . officeaabi8A4=9200 one lo fou�fiours;in advance ,All new'coiistruction will be placeil on billing six monthratterconnection fias b'een'.made. By sigiiing below, l at[eshth2t"I anvfarriiliarwitfi'tfie;District!s speciFic�lions ai�d agree to accept esponsibility forall wo k done underttiis permil. � � ° : iq � .C�. P'/L�'� D � � > .t',�, � � ��� �� _ �BuildedOwner SignaW�e � Plion� ��- � � G�y I// '/ o s� If15P0CllOf1 F0P f 21di ��=QQ_�'. "�" — 15deplan ���,,s416mM1ted g�, � — — n ����'=p- y; � (� �! Permif:'ssued (liis. .��day of, � " mG '199'�. � E�:'�' � � � o • , .�� ��, Jay W.: Iiey, UUlity Manager �� G'yln�SH/p`RE610�P���� Permit valid orily with CTRWQ,seal irn red:;ink. .v.03.70:9��� ,