HomeMy WebLinkAboutLat_13614DixieDrive°WASHINGTON COUNTY SANITARY DISTRICT
X33 W. 7ASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO. _-i'i
DATE
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEWA�UFLSYSTEM Maugaa^,viI!e f/Ore atr is
Permission is hereby given to: James Gray t
For Property Located at
Owned by: 1 a rn,o s r r=
Dixie Drive
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 311 Dixie Drive, Fla C*P
To Main Line:
Units Other
Industrial
Connection Fee `620.00 _ Date Paid
To connect to a public sewerage/]C= 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.
Secretary -Treasure
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumbing I p ctor
F_
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 Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field 1Office i City of �T�',.� 1_
WASHINGTON COUNTY SANITAV DISTRICT SANITARY SEWER LATE'."!.
WASHINGTON COUNTY, MO. CONSTRUCTION RECf112r
Project: Mau ansville/Orchard Hills SanitarS
,X Sewerage Collection ysstte,m_,_
f3ufq
Strsst (or location) : DRIve (r, X1. -T. 6-5-9 ho6'r,2,.,
Contractor:_ Lisbon
MH 6 TO MH
Oats Installed ?Ju/W A4 Wye Sts. On Main 2 -foo.. -4 Alf.
DEPTH TYPE EXCAV.
IIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
*Horz.= Total
9, 32 Y. F: Stud.
NOTES:
Drop
24.3'
-- s.4
V )6f411U
I
26 F9'
-oiops+ h0tZ=T0t8
33,-10L. F. 3,75+-27510=3t. Z5
L.�
I"5 iubc cc,.
Depth of Cleanout �.32V r- •Flow Line
Cleanout 26.8'from-t--m4nv
Layed ,3 �4��er Drop
_,�a�ioLg Basement Service
RN# bos MHS ,�,vb
8"w/L•
Amounts pertaining to work completed this period, reviewed and approved.
By
In actor Contractors Rep.
P
Copy t° v ,)NF2
AM -
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: -2TT-1 Dixie Drive
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.
. !
n i®
IOD r -J
C)
659
(2311)
4 JO
(23 ) I
z -
Cn I
X �
W1 lJ
>
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. „ r� o
Date: 3�
er
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
.. ��. AWN ^ .
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
P
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
k
J% Address
" Signed_
Date
;L3 ((
e
`Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
Re: Maugansville/Orchard Hilis Sewers
Contract No. Slid 7-3-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 naxhauge-- contract price at the following
location RE, C E I V E D
COUNTY
DATA
,1P7iiPECTUR Q
A M
Requested by Lisbon Contractors, Inch,
Approved by W.C.S.D. Inspector
Date 4 - 4''-�"------