HomeMy WebLinkAboutLat_13617DixieDrive;_Wrk"SSHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: Ralph Stotler , J r .
(301) 791-3083/3084
1'-O�qIq
PERMIT NO. 482
DATE 2/26/35
SUBDISTRICT N o . 15 -
Maugansville 0 nr and
Hi11S
For Property Located at: 2316 Dixie Drive, Hagerstr)vjn, alar "" 21740
Owned by: Ralph Stotier. Jr. Address: Rt 01 _60x_-__72, Haqe�r,stawn. MD 21740
Type of Connection: To Service Connection
X
Type of Service: Residential
X ( 1) Units
Commercial
Meter Size
_ To Main Line:
Other
Industrial
Connection \ $620.00
Date Paid-'-, 2125/85
To connect to a public sewerage/w9t6rX9`ystem (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. 15-7745
Building Permit No
Secretary -Treasurer
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 /Z
Plumbing
Plumbing Insp or
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 1 Plumbing Board jI
Date
Field Office City of Hag . --j—_
!IASMIWGTON COUNTY SANITAR% ISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATL,
CONSTRUCTION REC01'%1
Project: MauaBneville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): ,D x;E Q/2'/V 4aAE C /ii
Contractor: Lisbon Contractors. Inc.
Data Installed G Z 9 8 `/
MH GO TO MH
Wye Sta. On Main+ti3.5 1r t'
ZE
SIZE—UVE
TYPE -PIPE
C.O.
C.O.---
LATERAL
X
LENGTH
LENGTH _
PeC
--
*Herz.• otal
/0,3z yr
St1d.
P ✓�
'
ops + orz= 1
Drop
X41. s`o �l-
2.z�
NOTES:
Depth of Cleanout /_3F' Flow Line w_
Cleanout / 9 . s rem (t /Ut
Layed 0__. %
Basement Service
MH# 66 5
mf
6aG
Amounts pertaining to work completed this period, reviewed and approved.
Inspector Contractors Rep.
0
A^
.� Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
BBC1- Contract No. SD15- 3-S
Property Address: Dixie Drive
MH 605 to MH 606 DWG j 601-303
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.
-- - �J 9M
X Ix � I _ J
w 671
C)
> (2316) 0
o I
w
X
0 _
(2 I
co
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.
�
�1
Date: !>i7 fo%.�° ��-
—.
Owner
t �
y Owne
Attest
Wash. Co. Sanita i_strict
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON 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:
tv
Address --.S,? e
Signed
Property weer
Date 1M3
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 ContractorD, Inc.
Approved by W.C.S.D, Inspe
Date- -- ep) //9/93