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HomeMy WebLinkAbout0128.97 Sewer/Water Permit/s k � . _ '. :�� � 7it��� S��': ii � �� 41,�4� �n i3 .:�w. f�yl "q'�N' �- „ -��. . . � ic �'(� kl � � `. �'' {Y, k� ht� , z� i � - o ' �Yfi .�:�`x:�� il � 1 • � N,� . . � „ - . i -�W+�•� � ' � � �� �i . . � . ... � ' . .. . '\, . CLAY T,QWNSHIP, REGIONAL WASTE DISTRICT ; • � ,, . ..b�, f , .. ,. . , ;FINALSANITA.t�RY'SEWER£PERMIT-.`: . ' � ' a � .� ,ri Yhy�15n,{a�,b'jwFY!a5�L5t��PJ�.,;, ���j1��ti:�¢0� �.: . INDIVIDUAL LOT3lEXISTING BUILDING$ r • , � . �`,%� o . . 7� � ��F�"5���"`�,�t�7 a�S �1!� +� 1J��`i� �t�i,- xi a73rk�''�-r��.'+-nt��y Ak � "� ; . � �,�' �9�«�+9�iKb��a'�,��"ri��`m�� .�' ',�;a ����"-�` ns' �+r : �,���,i;�,�4� ProjecLTiUe �.ul ..,��ra.?.�:,v � . . � ..M .- � .N ,�«_.�,.� - '.' � e.� � '; " . } rV��,i �l .�'. � � 'P 4,� �`� � _ � f . '�� . /� � i . Location -C�'��r1�1 F G �%G},T/O�� � . _. � �.J�n>.;.. Nc.r a" t!a .6.i�F�:{ix.< < a . : . ' r _"'., - � . . .. q� e .. � A. . . , •i .. _ .: t Owner/Bwld'er.'. 1\ ���/'/U� 9-�� �L�r; ..�� s :x, �..�`� ` , ��:. . .l — � , �.� // y " u,+ /3�,.r-.- ....w, Lot#- 7 � St�eet Ad`dress -��aZ - ���Ati.�� ST ' �y /� • q � , r�F�. �,�. , .� .. .. - ' . lil�y ��/,//�/gI�/�^�. �/v��!:n2�P 4� ..�Lr.',u LY�. .�Y.: " Pr � i"ql a � I >w � � � �.' , � e< ' r�� �^ � �, . � t ,1W�J��t3�°.i�w��C�y ',r :oy P �� I �ii. l : � Ay2ilebillty Pald `��r� 1�,CtOn0y�9,c�li0fl PBe Peidir'� ' ,� +^ �M��-R •' Jl ,s --" `�i �+d`� i�'�7 �� � y .. .�.� , _ n S�,y '�i m.. �J i' n ni c !�4 �'r Y,�.. , Interceptor Cfiarges Paid: <t +Suroharge�s ..t . . ' . � ,t t�����4�i� 1uj' )f� � f�e��an�!�,s f.ea�� i ' �� �n � PL'EASE'N07E Installation'of building sewer shall be�per the specffcatioi�stof the Clay n ni.J a z+� t� 5 Yw Township Regional Waste Distrfot (see�reyerse)wAll Installationsshaill,be;�nspecled}by Distncf. personnel.du"iing open;,trencfi' pfia"se�and��efore 6ackfilling�witti sand o� sto`ne"�to;*six inches'- 'a6oye lhe piqe: �LQ,(aoting,oc foqndation d�alns or other sources,of ground,^o�sl,ormwate�,shall tie,permitled to enterthe District's samtary`sewerHrsyslem The District will a"s�ume,no�Ilabil�ty'for :drafns whicfi are below the grade Ievei of the 'n`eares[downstreamimanhole no`r fo��aterals whicfi are exlended,tieneath dri'veways or�sldewalks�+The permit,holder`;{propeAy�owner ,develope� o� builder) will be responsible. For damages'�to��the District s se`wers�sysiem;�including,;'menholes;: . ' castings marifiole lids,and the like, caused b°y construction adivity on ttie buildfng site�wliich is the subject+of;th(s permit, the permit hoide�,is�also respons�ble'��1�.�zT r�� � " � `���'���<< . . �y'�Y' ,� ,�1�%�,�$'B,, i. , . :. � � y¢ 'y!`$ U� Ic , . � s .r < Inspectionsgby.'the DistricC•.are MANDATORY and shall be arrenged by,contacung iheyDistnct's offce,tal 844,9'200 one lo;four hours infadvanc� All�new consl�iuction will be,placed`on•billmg siz • months�aRerconneclion has;bee�made#�F�}�� ��� • � ..� '�' � - � ,. , , . �i s!� ;� •;. - � . 5 TrV��S . - •. By signing below I alt_est ihat I am;familiar wdh the DisMct`s s`pecifications and,agree;loyaccept re'sponsitiility for all work done under�,this permd r�,,:^ � � . • �' �' rr, .-.�€Fr��.t ^� ,-- 'i,�s r , , • . ��«��.� � ,. ' � �� �� ..� iQ ; �� , ,�S�S Oc� 7y - � .Ill�dOf/QWfIBfFSignature , , �i�;�;��E . ;Pf10lIBl � �.,��s_Ji+, ' )1(l. 1, .1� �T .. � �. 0. � InSpeCUon Fee P81dI .$`�QQ ��,_±f;��fh�� 12'slte:planssutimlHed� � �,.' d� i �0, � � � T-; �� � � � � � t t ucnr3 ..i '` �,�QA� �� �'1/I�.� A :Hq ,, Q� 1a i yard u /� xL.��� � . Permit°issued�this�day of � � fW� �199_ ° � ; ��O, ., �t;"� 'y i, � � �'o e� � ' � '`�,�; 3� �. i� �L � a.'Q � G�i. v.i I T� n. !�} � �� < { � a : i,.. . 8y`��W. ��@Y�;�Utility Manager"'�} k��' �� ���n• s �0 F�IS:`�! sr� !7 � �� ,'�.'������� ' � � - r � - e r"' C C:J . � ' . . �, t 1 r . �_ } 4. ' . ° _� ��iQ ��I�. °Ii� t�� ^ � ik �0�stt�i f r. � Gix+�µf .. . � , x � '� ` Pe'r'md valid only wtih �ND seal;In red Ink.:o d • °�j� I `� } 4i�r.. • yr�'{� i;�; �, J' t,d�`r"s.i�.t4 S'``ai s�° y/n P �c, �ioi:se��P ' ti�� `ai.r qfGIONP�Vy` � � , . � ����� '��.t;�� � - � . . . , :� . . , . `iF' • ,:`�~ '�r-r. ° • , _'� . - . . . . .�n • t � . ' s�. ' . , •+::� . '