HomeMy WebLinkAboutLat_13621DixieDrive4)HINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.A. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO.
DATE
r -$$�B--pp T�i�CT No. 15 ,•
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAM SYSTEM % 14AUGAivSVIUL�U HI-L,LS
Permission is hereby given to: iM r- a o n n i e `j . t<e v P_ l i +� I
For Property Located at: `31 Dixie C;"'1V2, Hage, 4iaryiandl 2 1,+U
Owned by: 3Qnnle H. ReV2i!. Address: 2:ii3 Di;;i2 Drl@e, Hagerstown i�iil Li '4
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fe X 028 • uo' Date Paid-./ 4/12 , 65
To connect to a public sewerage/90W 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.
I ^;
Water Account No. 15-7750-6 b J�
Secretary -Treasurer !I
Building Permit No.
I
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: LT/ Date
Plumbing I pector
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
1 City of Hag. 1
WASHINGTON COUNTY SANITAR'. ,ISTRICT
0,1HINGTON COUNTY, MO.
SANITARY SEWER LATE:,
CONSTRUCTION RECOPP',
Project: Maugensville/Orchard Hills Sanitary Sewerage Collection Syatgm
I
Street (or location) : +$ n ( x, t E J)x-, 6' -2Z 6 70
Contractor:" Lisbon Contractors. Inc.
Date Installed 6 - Z4 -8 `I
MH (,c TO MH heti
Wye Ste. On Main /,,1/ 7
WYE
SUC
–
TYPE PIPE
TYPE
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYINr—
LENGTH
3x6y g
r "5 bkz�
_C806
_
*Horz.• T 1
�vC
stud.
�,,�.
ops ♦ h0tZ=T1
Drop
.
3+ 20•s8
NOTES:
�r
23.5 8 LF
� 2'STkd'
157
Depth of Cleanout D 5- " •Flow Line~�
Cleanout 70,_;_From
Layed • Z %
twKtCowA.' Basement Service
MH# G 0 ,
5T -A
1t'`/7 L T
MH# C.0 C,
Amounts pertaining to work completed this per.od, reviewed and approved.
4 _
6 0
WSD Inspectoron rec oraRRep.
D E%IV0EE w N
,.,. 1. U G 2 5 1983
WASHINGT`-)M '"i.
SANITARY DLi r.
-1 "
"4/�1LIAv �•� Washington County Sanitary Distri
F7t^"C.a(s . Gpl�y
(,?Arlo SEWER SERVICE LOCATION
arc Subdistrict No. SD#15
11; 11&2 / Contract No. SD15- 3-S
Property Address: Dixie Drive
MH 605 to MH 606 DWG #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.
0
6P 0
(2 3 ) a s c' R/w
_ _ J�- 61
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Xc✓�
RM
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: /fo
I
t Owner
Attest: �NI4��� aid (Mciz- Jl'
Wash. Co. Sanitary Distric
r
(Form WCSC-1)
Replaces Form WCSC-56
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