HomeMy WebLinkAboutLat_13622DixieDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: —
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
SUBDISTRICT
To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _ _ Date��lE'�l/
Plumbing Ins or
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permit
Plumbing Board
Field Offi
Date
WASHING'!M COUNTY SANITARY 0I5
WASHINGiJN COUNTYt MO.
ICT 11TARY SEWER LATE',"
L_ASTRUCTION nECoi,r!
Projects Mau ansviile/Orchard Hills Sanitar�c SIM61209 C01162tion Sr2t1m_�,
C3ts� a - �� ��p hm - n
Street (or location)t r,,A.r �(Oo -Z-194_-9D/x/� De.
Contractors Lisboa Contras nwm_ Ing. _
MH COUs TO MH ��QS
Date Installed_ Wye Ste. On Plain 14 23. 3 L4.
8"X
NOTE S:
1 I VrT. 1 YGrin 1 1 Vr1. 1 16AVPMW9
2fo R,r.cl. I 6'1 P GZ6I 7, I St 1 d.
I Drop I 27. 70 L•F
Depth of Cleanout 3z Orlov Line
Cl•trout Z-3. ¢ 0 From + M4Ill
Laced 2 Jr AFTER 020A
• ,�b5sr�c�saaewent Service
..2 'Slab v Gu P
z.• To
/7, Z5 -t-13, Z5=30.50
L-• F -
" 545
r
Amount• ps inin9 to work completed this per:odv reviewed and approved.
8Y C,
ns ec or Contractors Pop,
ry. i t "� Irv.
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. S1i15- 3-S
Property Address: Dixie Drive
MH (pO, to MH
DWG. # 601-311
Place an �X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
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VIN -7--, - -
3i3 0
Q
1. T;117
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The undersigned agrees that the Sanitary District may
y excavate an additional five (5) feet inside the property
'line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
` Date
/,,.Y
i T _ V 17
i
k Owner
A
(Form WCSC_111�
Replaces Form WCSC-56
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WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Ad
" Si
Date .�
'Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 217.0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
r
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc. 12i - ,��0.
a /
Approved by W.C.S.D. Inspector
Date z/ /('-1 / -e Y---