HomeMy WebLinkAboutLat_13625DixieDriveWtASHINGTON COUNTY SANITARY DIST T
RIC I PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741.0571
P.O. BOX 571 (301) 791-308313084
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM SUBDISTRICT
Permission is hereby given to: ROy q . LI. flri J
For Property Located at: 2320 Dixie Dri'v0, lid erstO-tvfl, Maryland 21740
Owned by: ROY A. Lumm Address: 2320 Dixie Drive, HagerstO li,
MD 2174v
Type of Connection: To Service Connection To Main Line:_
Type of Service: Residential ( s) Units Other _
Commercial Industrial
Meter Size _ Connection Fee -20.0,
Date Paid
To connect to a public sewerage/wXto§r 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.
wa.Ltr ACCuun L No. 0-15-7755 7
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::�i ���Li- ,�
Plumbing Ipector Date
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 CitY Of Hag. l
Mak
WASNINGTOW COUNTY SANITARY DI_.AICT
WASHINGTON COUNTY, MO.
NITARY SEWCR LATEO
CONSTRUCTION REC(utr}
Project: Mauoansville/Orchard Hills Sanitary Seusreas Collection Svatem
l 3 is � .�_..._.__
Street (or location): 41 6499 42w Dix/0- Dieiv��
Contractors_ Lisbon Contractors. Inc.
MH 60$ TO MH 005
Date Installed Wye Sta. On Main (+-27
r f.
X(, -X.5- I6"50R 26 Rt L
NOTES:
P VC 7,7S St' d.
Drop
2'S-Iubs�P
0
'•SDR Z� P_vL
2 7 45`Sencl
H
ori.. To
�2.So 1+,67+ 12•z5=
21092. ,
10
MAlkt
Depth or Cleanout -7.7 5"'�---
eFlow Line
Cleanout z0.50"�
Laved k 2'0 % AFTER plot,
10 /^ Basement Service
srA , I +z-7 I_T
6,05
Amounts pertaining to work completed this periodq reviewed and approved* r
nspec orContractors ep.
r�
."�
Washington Councy Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15- 3-S
Property Address: Dixie Drive
MH 604 -to MH 605
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.
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: 2C, (: ,
Owner
0
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
If It
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address �) `
Signed,
ro er y weer
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:
Requested by Lisbon Contractors, Inc.
Approved by W.CoS.D, Inspector
Date /C; / ", "- , r-;- - �