HomeMy WebLinkAboutLat_13602DixieDriveINGTON COUNTY SANITARY
-a
W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
^OX 571
ERMIT TO CONNECT TO PUBLIC SEWERAGEMATER SYSTEM
Permission is hereby given to: Vincent B . Budny
For Property Located at
2305 Dixie Drive
DISTRICT
(301) 791-308313084
PERMIT NO.
DATE 1
SUBDISTRICT
Owned by: Vincent 13, Budn.y Address: 2305 Dixie Drive, Hagerstown, MD
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
X
1 ) Units
To Main Line:
Other
Industrial
Meter Size Connection Fee $620, OU Date Paid
To connect to a public sewerage/wAtgr 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.
I -
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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water Account No, Unknown
Building Permit No.
Pal,, Q - '9
Secretary -Treasure
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION wiJI be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee f%
Final Inspection Made BY: ice/ 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:
DISTRIBUTION: Perm
Plumbing Board
Field Office
Date
dr.
WASHINGTON COUNTY SANITARY OIf ICT
WASHINGTON COUNTYv MO.
Aftb`IITARY SEWCn LATE'."
L-ASTRUCTION nEC(w%r,
Projects _Mau anneville/Orchard Hills Sanitary Seuerace Collo tion System
/ 3(co;-�'
Street (or location): �,d.l 64* 2-3&:!5 Dixie DRive-
Contractor:Lisbon Contractgr■ _ Inc. �� 1 f1 Cev'1?,
1
MH 5&1 TO MH --5*6e.A
Oats Installed 3o Ju/moi 54-'
NOTES:
R 2!o RYL 16 "Joe L6 I
PVC, . 6 • /1 V. F.
Wye Ste. On Main -1465.7 L46
St1d.
Droo 1 .30. so L . F
Depth or Cleanout 4P i ow Lina
Cleanout 26-r�M41
Laced 41 J• Z-5 % AFTER 0JZ011
• �o�ie�C Basement Service
Z.. wl 1,
Fw:5(0i
orr.• Tot
G. 67 -,- 23.3o =29.97 t -1F
Anount• part nin0 to :cork completed this periodo reviewed and approved.
BY C )4 71 `775-/n
Inspect ContractMe Rep.
�00a� . ^
`Yf'r
Property Address:
V,_
3Le0?—
j&I5 Dixie Drive
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
MH -561 --to SIH 562-A 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.
Ij 656 ��
(2305)
-,00
1v
1'01
01 1
R
V 1
C;
a
5
8"-8-AN—
The
"SAN—
The undersigned agrees th the Sanita District may
excavate an additional five (5 feet ins' the property
line so as to facilitate, and ake les expensive, the owner's
connection to the lateral and to pr ent damage to the cleanout
which will be installed by the D' riot at or near the property
line.
Date: L 23hi.3
Owne —_
Owner
Attest: D 4L-XA'/j
Wash. Co. Sanita District
(Form WCSC-1)
Replaces Form WCSC-56
z'4
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
�JASHINIO'T N CO.
5ANITARY F"""e
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address -_r
a Signed
Property wner
Date _
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
Re: Maugansville/Orchard 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:
u ,S _ j e e 7_ To (,j t9- %�E
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date / e
- - - 1 � 1� F � r��� it