HomeMy WebLinkAboutLat_18607DixieCircle/ tvASHINGTON COUNTY SANITARY DISTRICT
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33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
Pb. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
2306 Dixie Circl
Owned by: P 1 ".; l - 1.1 S ell a i1 Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
` aUg
4310 o rl Z-,4 ie
PERMIT NO.
DATE r +.r
SUBDISTRICT No 15
nsv AA e/Orchard Hills
.300 Dixi,- Circle, Hagerstown,. MD
To Main Line:
Units Other
Industrial
Connection Fee L 6 L U . U Date Paid / / 13136
To connect to a public seweragely<ater 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 Nu. 15-772u 4 �)Q
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
i
Final Inspection Made BY: Date _
Plumbing Ins ctor
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Bo
Field Office
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
WASHINGTON COUNTY SANITARY 01 RICT NITARY SEWCn LATEi':'--
WASNINGTON COUNTY, M0. CONSTRUCTION nECfu�(
Project: Mouoinsvillee/Orchherd Hills Sanitary sueraoe collection Sysigm
i gt�o
Street (or location) : e� r 0740
Contractor: Lisbon Contractors. Inc.
MH -, 563 T 0 MH
Data Installed S-7 .64 Wye Ste. On Main I t-40,4- ,q4.
xb"A6'
NOTES:
an
%YM
p`IC-
MAJtJ
ver ■.. ■ ■r•. F.#%%." 0 1.111 aglow
0 TERA EN TH NTH
*Hors.- Tota.
5.93
Std.
Orap ps+ ors•
�7,4-Q g.Qi3+38.25 =
47.00
"SSR
i
�, 45•$ecxl
Depth of Cleanout 5.93 v.F. Of low Line
Cleanout 4z, 41 ' row .4--, mpok,
Layed • 4,o x AF -r -ER mon
u4 "A Basement Service
5,93
0
,5rA . 1+ 4o■ 4 9x.
■
lM4� �3 N Mild S�-
2�ub �fnp"
Aaounts pertaining to work completed this psr:odg reviewed and approved.
By 12 l S%Cv
Inspector rnn rac ors op.
W.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1 07 Contract No. SD15- 3-3
Property Address: 2. 6 Dixie Circle
MH 563 to MH 564 DWG. #601-310
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.
R
pcA'�E
�t DIXIE CI
(b .�
676
(2306)
row
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 or near he property
line.
r
VJ, Nu L G(A5J5A19it)
Owner
Attest: I-t-sZ
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
mp S� 3 - Spy
WASHINGTON COUNTY SANITARY DISTRICT
I1 It
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
r]
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
�I � �RoAE2 i�, Citi
Address ,CCL "c
Signed
r
ro er y weer
Date / %Z8 `,
'Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Gentlemen:
We hereby request permission to install the house lateral
3 of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
C)K, _ SUf3 cT"
Requested by Lisbon Contractors, Inc. L
Approved by W.C.S.D. Inspectorr;�
Date Z--7 6 V