HomeMy WebLinkAboutLat_19319LongmeadowRoad='WASHINGTON COUNTY SANITARY DISTRICT I DI T T PERMIT NO. d'
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 4/17/85
P.O. BOX 571
SUBDISTRICT No., 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM (� ii a u a ai it s ,,/ iii e / U r C n d rd H i 1
Permission is hereby given to: Ada G. Grove ( `
For Property Located at: 14 W. Longmeadow Road, Hagerstown, Maryland 21740
Owned by: Ada G. Grove Address: 14 W. Longmeadow Rd, Haacrstewn, MO 217-fO
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
X To Main Line:
( ) Units Other
Industrial
Connection Fee :620.00 ._ Date Paid 4/ 1 //f3sj
To connect to a public sewerage/Wathr;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.
Water Account No. Unavailable
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 cam%
Final Inspection Made BY: Date
Plumbin nspector
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permittee ) Plumbing Board_
Field Office
City of Haf . 1
WASHINGTON COUNTY SANITARY DTTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATC,', ;__
9NSTRUCTION REC(Ii,�-
Project: Maugansville Orchard Hills Sanitary Sewerage Collection System
r93iI
Street (or location): r^T i005 'W 1^/• L01V&MEA00kV
Contractor: Lisbon Contractors. Inc.
Date Installed 22)'1A 148-4
MH /'0& J T 0 MH i ,3�
Wye Sta. On Main ,'-r-4Z F;T: ✓
WYE
SIZE
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
8• �.
6"50R?,(aPV.6.
CAA5Tle04
*Horz.= Total
��6•R�rc.
5.66�.�
St'd.
32.YvL.F.
30. 08 L.F.
5T.c1CJ�
Drop
ope + H orz=
NOTES:
45 4 �—
--
Co.�T
21zb0.[ CAP
�
MAI 1.1
I
C, "s0R2& PV4 .
I4F- z4'• F:k .C.
Depth of Cleanout ®Flow Line
Cleanout 28.4' From -t-- H4,ry
Layed ® 2. '75 ti
,005,5r8�� Basomont Service
Louc-,MeAD6W ROAp
MH# 4030 1
0' o, n 1"1/(- MH# X053
W, Fi.C.P
Ccuitcs.—TL
�C.o. • _Q •�TUgty'G4P
Amounts pertq4 ng to work completed this period, reviewed
and approved.
8 y CA
WCSD Inspector' Contractors Rep.
r ,..., urcr_h )
401h'
1 g311
Property Address: Lon
A-,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-3
meadow Road
MH 1030 to ISH 1031 DWG. #601-368
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.
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the ow-ner'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: G� /II SS / 1`� 0 U _.
Owner
Owner
Attest: �f
Wash. Co. Sanitary73-strict
(Form WCSC-1)
Replaces Form WCSC-56
/o -3o - i "3
•,.. ,
WASHINGTON COUNT' SANITARY DISTRICT
` ..'. - ',
/ 33 West Washington Street, Hagerstown, Maryland 21740 (301y 791.3083
r%
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
'kry L► N e
w
Date_,, 21-1
Washington County Sanitary District
33 west Washington Street
Hagerstown. Maryland 21740
Re: Maugansville/Orcharrd Hills Sewers
Contract No. SD15-3-S
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:
S u \ E- e 1 // o S% o 0- M PiZ,4 lA./ T> -�7 v TA/
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
_ 3/zl /8,Y/