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HomeMy WebLinkAboutLat_13613DixieDrive'ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.1 VASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 X 571 (301) 791-308313084 DATE 4 `� , :3 b .�41VIIT TO CONNECT TO PUBLIC SEWERAGE/WAT,,SR SYSTEMSUBDIST ICT NO. 15 — I '�y1 :J MAUOANSVILLE/0RCHD,TdD HILLS Permission is hereby given to: Dona I a V ria � 3 h a_ For Property Located at: 2314 Dixie Drive, Hagerstown, Maryland 21740 Ownedby: Donald V. Magaha Address: 902 Salem Avenue, Hagers-rown, N10 21740 Type of Connection: To Service Connection To Main Line: Type of Service: Residential Commercial Meter Size Units Connection Fee $620.00 Other Industrial Date Paid 4/8/85 To connect to a public sewerage/ '- i nCsystem (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 No. Unavailable Building Permit No. Z Secretary-Treasu 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 21.740 Telephone: 791-3146 Permit Fee i Final Inspection Made BY: Date Plumbin spector 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 3 Field 1 Office_ 1 Date City of Hag. 1 WASHINGTON COUNTY SANITARY 01 3ICT WASHINGVON COUNTY, M0. 'NITARY SEWER LATE0'; -INSTRUCTION REC(►i Project: Mauoansv_ille/Orchard Hills Sanitary Sewerage Collection System Street (or location): 6A (PIZ Tom' Contractor: Lisbon Contractors. Inc. 00ra 66�6 MH 6,c,:5 T 0 MH 100 Date Installed 9144k/ Wye Ste. On Main 0 --co Lt W�' �ac�— ITYL ULPIM TYPE IZE TYPE PIPE C.O. C.O. LATERA A OAJL�'3-Dez(o i--;�0e4Z' c�v ov P. VC . P. �a rL l St 1 d. T� M.N. NOTES: Drop MAIM F I i J Depth of Cle nowt,�.®Flow Line Cleanout 4 , rom Layed • lw: »�? Basement Service MH# (- C-= TH LENGTH _ *Horz.= Total '4, /0 Ops + OPzs Z ` —24U b le Cal MH# �3 C',E� Amounts p ininq rk completed this period, reviewed and approved. BY P 1 Inspedtor Contractors Rep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 13 L 13 Contract No. SD15- 3-S Property Address: 231 -4 --Dixie Drive LAIL AL mro My D.I # 601 3D'i 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. t)%ca S'-ro0r7�0 Notes E- 672 2314) i L1i x 6 7 � 7— (2 — t2 0 o i WX M M: 0 f 9 1 AU J 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. Owner Owner Attest: �� o 1 Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 L) (0 t WASHINGTON. COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 w (301) 791.3083 n To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: t Address_ ,z3 iy SigneA/ Property wne Date---, '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: U --------------- Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector Date�1� c4'%