HomeMy WebLinkAboutLat_13933DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO. 391
DATE
. �
PERMIT TO CONNECT TO PUBLIC SEWERAGEI rT RSYSTEM Y':SUBDISTRICT T�ifJaugansvill+z 6rchard
Permission is hereby given to: ^wna i d L. SoicI t"5 Hills
For Property Located at: 325 Mt. View Avenue, Mauoar(syitle. Mor land 21767
Owned by. Ronald L. 30wers Address: J.ti. )P _, . �,SV1-1,1fit. d 21761
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
Connection Fee � Q'_' U -
__ To An Line:_
Other
Industrial
_ Date Paid
To connect to a public sewerage/16= 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
6
Plumbi g Inspector
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:
DISTRIBUTION: Permittee 1 Plumbing Board 4
Field Office
Date
;GTO N COU% Y `�ANITARY�ST Ni%i
UASHINGTON COUNTY, MD.
SANITr:'RY SEWCR L7'Y.l•L`.
CONSTRUCTION RCCC;U-
project: Mauonnsyille%Orchcrd Nilly
SD! 5--1-5
Street (or location) : _0.9-k /i% V1r Da
64-T
Contractor: Colles Con`rartors, Inc,
MH
0
TO rH 3-7 ✓
Date Ins galled—o/- 03—C94 -----
'1; e
5ta,
0 f i Main ±-33.rLt
L'Y" SIZE --
S 1 `1 a T YPL Q „-
1 P
NOT: S:
TYPE DEPTH
C.0> C-0�.
'SD,eZ6p►cC
(6.2/ V 47,
TYPE'IEXCAV.
LATERAL LENGTH
St3d. I 33.5L.;',
i
! Drop
LAYii`::
�'Hcrz.= Total
ope + horz=
Depth of Cleanout 61. 0160 V. D - o,,) Line
Cleanout ---So' From LIAi Ai
Layed C1 S. 255 _5
pUsS�BG� 0asement Service
2 STV F3tu cn, P
-
j� H;
3 7G
Amour -its per in to work completed this period, reviewed and approved.
BY
L;C9ii Ing= -cctor L ntractors Rep.
I r _ 1- -. r N.
CITY
LOA-rr R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
/3933 Dis, CtV14 Ave, Contract No. SD15-1 S
Property Address: 326 Mountain View Avenue
MH 403 to MH 376
Dwg. #601-043
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.
40'R/W
1 8°.SAN DMH —15
-i-- 8 11 W / -
3 R -
0�
I I
7
( 2)
298
(326)
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 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:
Owner (Print)----
Owner's
Print)--Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56