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HomeMy WebLinkAbout0131.97 Sewer/Water Permit/s - —. , . . ' • ¢. . \ t._ . CLAY`TOWNSHIF REGIONAL WAST,E.DISTRICT �^�^� SAh1TARY SEWERaPERMII jJ�1D�V1R1I61 LOTS/EXI$TIL�LG!A�IL°I?ItL� � . • ° f � . ''. Fal,�r(7 a , R�ojecl Tille,:- _ ° � 3�f�1�'�`"T" ' Locatron: S U ✓✓l (Il G1'IGk;f Y.''S . OwnerBuilder. IY� Q- f IG � r✓n t`'�G .� Lol?# � O �Slreet Ad'd�ess 9 7 yJ` S u irm;�r�,��(ak.�s ��, - _ . - �� �f� 0 3 7- , c��y: ,Ca,�.��r . z�p: _ _ ,.--. _ gs� � Av_ailaGilily Paid; ,Gonnection Fee Paid: . . � � . Interce tor%Gha� e§:Faid:' � �Surcharges: �- p 9 eLEASE NO,T�: Installationvot bwidfng sewer"shall be.per the speci(ications'ot Ihe�Clay T,ownshi�,Reg�onal Waste Dislrict (see reverse) All,installalions shalf be' inspected by Dist�ict personnel� d[uing "open trencli'`phase apd,before�backtilling wilh sand, or stone��to six mclie`s 'atioVe Ihe pipe. �Q tbotmg or foundaUon�drains or:other sources of ground or stormwaler;sfiall tie'��ermiUed to.entertlie DislncGsbsanitary�sewer system The;Dislrict will assume�noYhabil�ty�foc drains which are below lhe c�rade..level of the nearesbdownslream manhole nor for,Jalerals wliir.h are exlended benealh dri4eways orasidewalks: The;pernut holiler (`property owner.deyeloper or 6uilder)�will be resqonsble: Fordamages_to,the Dislncts sewers system mcluding manholes, casUngs,':manfiole lids and`the like caused by_construction,aoti'vity on tfie building;,site which;is+ �lfiesu6jecf of'ttiis peimit, ihe permit holder±is also responsible:�. • InspectioiSs,tiy the DisUic't a[e :MANDATORY and shall be, arranged by contacting the DisiricPs office,aL844=9200;one to four hours in advance. 'AlUnew constructwn will;6e'placed on b�llmg six• months•a(Cer connection has been'made.: , � - -.,.. , . By sigmng below, i atCest'Ihall am tamiliar-with tRe Districfs;specifications and�ree to,accept, �responsibility'(or all�work$done�,under this;permit_:. � �` ., , 1 I //��4� ' ;� 1. ��b�a �a 1(srn r�� -� - Builder/Owner Sgnal"ure` Ph°}f��?' ��`l�. . � � t� ° Inspeclion'Fee PaidS';$55'00 , � =1;site pla��ubmitted �;�r��� v� ' ti�J, F,�n:v1, r : �d�y 0(,�99 ° ,� k �i y;e, , ,� Perniil;issiied Ihis_ � � ,,� �. w ; � . � ' 4 � � ,. . ` � ,' a`�, � � -t' . �: Ja 'W. Q IeY;; lilily i v ,�rTGiypr$��r �tE���a�;, r� Rb; . � �Fermd valid,only`witfi CTRWq'seal'in�red'ink. iev;11;.OP_961cj1 � I