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HomeMy WebLinkAbout0134.97 Sewer/Water Permit/s CLAY TOWNS,HIP R�GIONAL WAST�.,b�STRIC� EINAI�SANITARY SEWER'PERMIt � INDIVI_DUALLOTS/EXISTING BUILDMGS : CLAY WAS'� �ST Project Title: Location: ��-�"��✓�'� Owner/Builder: � ri,�f�=. ' 1J �k-u Lot#" O�i`�a Street Add�ess�/���� • ���" � 'v--�—� Clly: ' �A yj[._D�" .ZIP: "/� (�Q���� %1 � Availabiliry Paid: ` Connection Fee P ` _ - �" InterceptorGfiarges,Paid: � Su�cfia�g's.����� � . , . . •.• p�g��OJ�. Inslallation o( bmlding sewe� shall be pe� the speciflcaLons of,the Clay Township Reglonal Waste DistncC(see reveise) Alf Installatfons„`shall lie:inspeded by Dislrict personnel du�ing "open trench" phase and before back(ilhng with sand or stone 1b,��z inches, 'above lhe pipe: N9,�ooting orfoundatwn dr8lris, or other sources ol ground or storrriwAte�, 'shall be,permitted to,enterthe Dist�icGs sanitary sewe� system. The.District wlll assum� no�i�bility for drains'which are below the gPade le.vel oLlfle.nearest.downstream manhole•nor for�A1�r915 which, are exlended beneatfi.driveways orsidewalks..The permit holde� (propeAy owner dAvb�o�er`or builder) will be responsible. Fo� damages to the�District's sewe�s sy"stem Indudin�.m@riholes,, castings, manhole,lids and the like„caused;by conslruction actiJky on�the buildin� 5f{� which is ihe subject oithis`permit; the pe�mit holde�15'al"so responsible, • Inspections hy lhe Dist�ict are:M�pB.T..QBY'�nd,shall be arranged by. contacNng tfi�;�istricl's office at 844-9200.onerto fourfiours in advarice .All,new consCruclion will be placed on.bllling;six months affer connection has been made. By signing below, I attest ihal I am farriilia�with,the DisUicl's specifications and ag�eb.fo 9ccept re`sponsibility'for all work done.,under this pemiil. � .S�D --_4:9�9���,:_ BuildedOwner Signature Phone j4c}��� ����,� � � � � Inspection Fee Pai : $�5_20 _ t/ � =2 site plans su innied G � 'V��'YY� ° , . Rermit issued lhis�day of�99� ,- � � � • � •� hh. o!y o�y Jay W. AI Y,Ulilily'Manager' ' � �`r�S'jp S1�' REGIONA�Wp ;..;, Permiivalid only 'with GTRVVDseal in ied ink. re+.11-01.9(ilcjl•