CITY OF RED BUD, ILLINOIS
APPLICATION AND PERMIT FOR SEWER CONNECTION
(38-4-4, 38-4-5 AND 38-4-6 OF CITY CODE) Effective with Ord. 942
______, hereby makes application for permission to connect with the City Sanitary Sewer System of Red Bud, Illinois, at the following described property.
Address ______Phone No ______
Subdivision or Location______Lot No.______
Payment of $______is acknowledged by City.
Standard-$500 Country Club-$685 Line West-$1500
Type of Connection requested: ( ) Class 325-; ( ) Class 625; ( ) Class 1500;
( ) Class 325 – Mobile Home Park; No. of lots ______x $500.00 = ______
1. Type of building to be served ______
2. Service is for New ______, replace existing ______, addition to ______building?
3. Type of construction: Slab ______Basement ______Other ______
4. Will there be a basement drain ______, Backflow preventor______, grease trap ______
5. Permit to dig in street (if necessary) has been obtained ______
6. City’s “Connection Fee” has been paid - ( ) Yes ( ) No Amount ______
7. Name, address and telephone number of plumber performing work. ______
______
8. Approximate date Inspection desired ______
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The undersigned agrees to comply with all rules and regulations, deposits, Zoning and Sewer Ordinances of the City of Red Bud, if application is accepted, and further understands that:
1. It shall be unlawful to run or allow to run any surface water, downspouts, seeptile, window wells, water accumulation from construction or basements and new lateral sewers into the sanitary sewer system.
2. J.U.L.I.E. (1-800-892-0123) shall be contact to determine location of existing service lines(utility, telephone and cable) BEFORE excavating commences.
3. No taps shall be made into the City Sewer System except by a licensed plumber or City certified personnel.
4. All sewer pipe shall be no less than four (4) inches in diameter and shall be P.V.C. Schedule 40, solvent cement joint can be used for pipe and fitting. All rules and regulations as found in “Standard Specifications for Water & Sewer Main Construction in Illinois” and “The State of Illinois Department of Public Health Illinois Plumbing Code” shall be followed.
5. Before any backfill is placed, the Utility Department must be notified and a Sewer Inspection made.
6. All trenches in streets and alleys must be backfilled with aggregate 7/8ths inch or less in size. Sidewalks and curbs shall be restored by the undersigned at the undersigned’s cost, to original or better condition.
7. All discharge into the sewer system will be controlled by Federal And State Environmental Protection Agency regulations and City Ordinances and anyone violating these laws will be subject to a fine, disconnection or both.
The above provision are hereby accepted this ______day of ______, ______.
Permit Issued: ______
______.
City of Red Bud Signature of Applicant-Owner
By:______