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HomeMy WebLinkAbout1302.98 Sewer/Water Permit/s � , , � q CLAY TOWNSHIP REGIONAL WASTE DISiRICT � ' r SANITARY SEWERiPERMIT' . . ,, , _ __. _ l . �4, [ ]:GONDITIONALPERMIT - ; . NAL. PERMIT' : , INDIVIDUALLOTSIEXISTINGBUILDINGS: . ' , ��el'A-A ��'�e�'�S sf �� ' ?,�i,� Project Title;� _ ., — - " _ cR�K�> �, �� � Location: ,�Si :�Zj,ioni„ � . ,Owner/Builder.�"�,�r:.i"d �O:NI`�� �=�-.C- Lot# Z� Sf�eetAddress? Z?I S � ET3g(?E ���j�' ���t, City: �Rt�A`t-1::,� �N. ' ' Zip. ��(oCt3,Z; Counry; N�MILTa/.�__. , . ' OT�. ,. _' Availa6ility Paiii: _ �� g"� r.�d Connection'FeeiPaid: ' 9�J�'' , �.. . .. _ . . _ � . _.. . - - _ • , ' . Infe�ceptor Charges Paid: °� Surchargess � ,LOC: � „ , -� , ' PLEASE NOTE:� , InstallaUon of:6uildmg sewer shall.be per thespecifications of; " . , the Clay Townsfiip Regionai'Waste'D'istnct�(see.reverse)and any conditions not`ed:below. All, installationsshall?be-inspected by Dist�ict personnel during"open trench', phase`and befo�e• ' � liackfilling witfi sand orstone to six�inches above;the pipe: NO toot'ing,or,foundation�drains or " ' other sources of;ground o�stormwater shall be permitted to enter,`tfie:DistricYs sandary sewer systerri. The Dist�ict will'assume no.liabdity for drains whichfare below tlie,grade leVel of tfie; ' , d"ownstream manhole nor foriaterels which are extended beneath'diiyeways or. nea�est , , � _.,.. � _e T sidewalks; the�permit'Fiolder(property owner�dev_eloper,orbuilder)_will 6e responsi,ble., For � , ^ damages�to the`.DistricYs sewersystem,includmg_manholes;castings, manhole,lids and the,like; • .' ' caus'eil by.constPuction,activiry.on the'tiuilding site which;istfie sutiject of this;permit�the;permit � fiolde�nis also responsitile. , ' ' , Inspections by�tfieDistrict a�e MANDATORYsand'sfiall be;arranged by<contacting±the Distnc4's , office at 844-9200 one to four hours in:advance. All new construction will be'placed,on billing=six montlis after'connection fias;been,made: , - • .,:,� � ^ By sig"ning tielow; I attest,tfiat I am familiar witfi:the Dist�ict'sspecifications and agree,to accept; „ ' respon`sibdiry:forail;wo�kHorie undertFiis pe�mil � � . . . - • Condilion' ' � - ° [ j NO CONNECTION to'the sewer until furthe�notifcation. ' [ ] CeRifcate of-lnsurance!must'be on file with`CTRWD'listed as certificate holde�: �.._. - . [ j 48,Nours notioe beforetwork stafts,on manhole core�drilling,o�'"cuts�ofiactive lines . and;Distncf:inspectorinust be orrsiCe. - ,[; ], QII;District fees'will;tie paid"in;full. ; ,[ ] Approval pending Districts review of'plans. [ ] Copies"of approved pe�rriits from`approp�iate�county or city agenciestfor work�in.tfie� �igfitof-way, road cuts'o�. _.. ' � are;att3cfied, �� ,�. • � � , All con . _ : � ; r. , ! , , � eg � permit,i'ssued. . `_ .19: .. ' , ditions hayEb n met,and final', _ p ��e,� -. _ . . . ,.. . " � /`.-%�L tir�- � 3 i �. - 'SXU_:,9 ��L uilder wner Signature, � , � � , Phone , ,. , .. Inspection�Fee�Paid: $55:00 ` ^ ' : —� � , Permit issued'.tfiis�day of���-���/v499� _ � � =- -. . _,�— -a �. . _,�.-,-. - � . ; �_:-_..�r . � . . _ � -- - _ '`' _ ��; � ok�:WLL'QLTq�;�° '. 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