HomeMy WebLinkAboutLat_13707DixieDrived�: ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 521
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741.0571 (301) 791-3083/3084 DATE 3/ b% 85
P.O. BOX 571
j� SUBDISTRICT tic) • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIW)tigfER SYSTEM 1 �n� \ M a U q 6 B `` n A r FF s
Permission is hereby given to: 'rimes H. Hoffman
For Property Located at: 240U Dixie Dr., Hageriryland I i4u
Owned by:
James H. Hoffman Address: 2400 D i y i e Dr., Hagerstown, MD 21740
Type of Connection: To Service Connection ^ To Main Line:
Type of Service: Residential A ( 1 ) Units Other
Commercial Industrial
Meter Size _ Connection Fee $620.00 Date Paid 3/6/x35
To connect to a public sewerage/**ager;system (with proper abandonment of previous private system). The installation
of the connection and the ,abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
I
Ga
Water Account No. 0-16-7780-$ Secretary-Treas re
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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date �U
Plumbi Inspector
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 -i
Field ` Office
Date
City of Hay l
- Aft.
WASPIMGiJN COUNTY SANITARY Di AICT
WASHINGTON COUNTY, MO.
NITARY SEWER LATEO
�JNSTRUCTION Mow!
Projects MauoaneviIle,/Orchard M z r
!370-7
Street (or location): GAI )Ixlc J- ivC" - -
Contractor$ Lisbon Contractors, Inc.
Ov-r of--
MH
FMH 64z TO MH
Oats Installed_ Wye Ste. On Main Lf.
WYE 3I1L— ITVL ULV111 1 VrV. 1.0%a.nr. 0. 1 .V.W
11 ZE TYPE RIP C 0 LATERALLENGTH LENGTH
uouE s�a2�P �°soez� *Hors.• Total
GOA/Ad. PVC, . f 3 ." St / d.
NOTES:
•• Spit ZIe OV.C.
2''$4ubE cop
Drop
MAIq
Depth of Cleanout o• F •Flow Line
Cleanout 23, I D Fromp mA,ik
Laced • 3
Ooss/ec r Basement Service
Mf t5 --d-1
s-Qz
f
Amountsport my to ork completed this period, reviewed and aiprovede
BY �-
WCSD
nspectorIContractors Rep.
B�9sr /hGNT— 5F-7 CE
t /) r/"` E,b
L*"AL JNtO P114 64&0..e� o
cfo 114O
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
f 301 Contract No. SD15- 3-S
Property Address: Wx] Dixie Drive
MH 542 DWG. #601-321
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.
IN 6 �
o
(;X\4) 6 7 ��
� (2 2)
0
Cc)�668
�� / (2400)
AOL
D15 - 5 41 SA tv qN 3 /
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2
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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: � �3 04M E S . 0, R6F% IMV A &
Owner
� Owner
Attest:
as . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56