HomeMy WebLinkAboutLat_13609DixieDriveW _'iINGTON COUNTY SANITARY DISTRICT PERMIT NO,
33 W. WASVINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE Oct.17, 1985
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT N U' 15
I3UOT MaLlydii3vileiUrchard Hillis
Permission is hereby given to: UdCFI�S $tdil l �
For Property Located at: 2312 Dixie D r i v ra
Owned by: ' � (" - __ Address:
Type of Connection: To Service Connection
Type of Service: Residential ( ) Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection Fee 620 ..UU Date Paid 10-17-85
To connect to a public seweragelwat;-Q;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 Acct: 15-7735-2
Secretary-Treasur
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permitt
Plumbing Board
Date
Field Office City of Hag. 1
WASHINGTON COUNTY SANITARY DI AICT
WASHINGTON COUNTY, MO.
NITARY SEWER LATE'.
CONSTRUCTION nECORr!
Projects Mauamnsville/Orchard Hills Sanitary Sewerage Collection Sygigm
Street (or location): C 10
,.41 3 (-a U�ix�� 7�,rt���
Contractors Lf abon Contractors. Inc. T' ►� �1
i
MH 5�0 3 TO MH Slo�- I/
Date Installed 4
Wye Ste. On Min ! t24,0
4.
8" x("*x B" 1&"60R 26 01Y.c.-
NOTES s
NGTM
/WC I S-33VI=- St'd.
I Drop _ _
Depth of Cleanout 0,33 4flov Line
Cleanout St -G`b roe +-M4TZ
Laced QL A FTER O/Zop
1J A Basement Service
2 SlUb %C_.P
563
Amounts pertaining to work completed
By
Inspector
LENGTH _
rz.• Total ----
9-3 5 -+- 4-7-0e)
otal
9.33+47.08
5-6,41.
i + 7-4-4, Lf-- FT. 564
this periods reviewed and approved,
Contractors Rep,
r
e
563
Amounts pertaining to work completed
By
Inspector
LENGTH _
rz.• Total ----
9-3 5 -+- 4-7-0e)
otal
9.33+47.08
5-6,41.
i + 7-4-4, Lf-- FT. 564
this periods reviewed and approved,
Contractors Rep,
r
000`
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
13(xc'q OR Contract No. SD15- 3-S
Property Address: W�i2 Dixie-G� -
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.
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: /to :.
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
wner
WASHINGTON
Gdj 11-7 3
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
i
O - --
001. Address_ J Z,
Signed — -
rope wner
Date j p
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
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:
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector �- el�' f
Date YP ( ( 8 ly