HomeMy WebLinkAboutLat_13610DixieDrive'WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
e W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 7 91-308 3 1 3084F
P.c?.BOX 571 DATE
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SUBDISTRICT No • 15
PERMIT TO CONNECT TO PUBLIC SEWERAG EIWATER SYSTEM
�b Maugansvi a,� ui chard Hi l is
Permission is hereby given to: 'Y'. �;ugen@ T' . IiI'llg�1_ It
For Property Located at: 2309 Dixie Drive, Hagerstown. Maryland 21740
Owned by: Eugene: J. Krugh Address: 2309 Dixie Drive, Hagerstotim, Maryland
21740
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential
Commercial
Meter Size _
X (l) Units Other
Industrial
Connection Fee
X620.00
Date Paid 1pril 23, 1985
To connect to a public sewerage4atdr 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.
r 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
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: Permittee Plumbing Board
Field Office I C;
Date
WASHINGTON COUNTY SANITA( DISTRICT SANITARY SEWER LATE
WASHINGTON COUNTY, MO. CONSTRUCTION REC(H"!
Project: MauQansville10rchard Hills Sanitary Sewerage Collection System
i 3t��U
Street (or location) :
Lisbo _C ntractors, Inc.
Contractor: _ --
MH TO MH hoc,
Date Installed JJu/L� e4 Wye Sts. On Main j4/(..4Rt.
WTL JILL— 1 Tr[. ULr I" I Vra. F_0".MV. rn...v
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
1_••.j0R 26,e>VC_6'sp �6 *Horz.: Total
', ���
Drop
NOTE S :
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'
....• 1
8"7"qA L5/7E WL Qj
b'SDGZ Z(o L?V.G.
ala7..2
Depth of
Cleanout 1-59 ®Flow Line
Cleanout
rrom -L HAW
Layed 6__=.
__Basement
Service
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Eos
MH#-�
8 Ti3nA t5,rre NIL—,
G•U.
Amounts
pAs ainin9 to work completed
thN period,
reviewed and
approved.
8Y r G
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,Ins
is I C-
VM actor
Contractors
Rep.
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Washington County Sanitary District
SEWER SERVICE LOCATION
U
�f Subdistrict No. SD#15
13 U 10 Contract No. SD15- 3-3
Property Address: U7 Dixie Drive
-MH 605 to MH 606 DLIC 601-.,m
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the ueToNr�
property. Place a wooden stake in the ground at that location. ali7`Q�
5a
�c
W 7
T�
(
X 0 I
o �
w 0 QX
658
(2309)
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PU
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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 Dis at near the property
line.
Date: 8 /
0 er
--7 7-.
Owner
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test : � � �
. s`anitary District
(Form WCS -1)
Replaces WCSC-56