HomeMy WebLinkAboutLat_13711DixieDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM lI
Harold Brewer
PERMIT NO. 470
DATE
SUBDISTRICT it 0 . 15 -
Maugansville/grchara
HiI`Is
Permission is hereby given to: '
For Property Located at: 2402 Dixie {give, Hagerstown, Maryland 21740
Ownedby: Harold Z. Brewer Address: 2402 Dixie DrUle, Hagerstown,Mrl 2174
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee $62u.vu Date Paid 2/20/85
To connect to a public seweragelwAtgr 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
-a�el =account No. Not Available
Building Permit No.
t
Secretary-Treasur'e�/
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:11 Date
Plumbing Ins for
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: Permit
Plumbing Board
Date
Field Office C -i.
WASHINGTON COUNTY SANITARY DI! DICT
WASH„NGUM COUNTY, MO.
0`11TARY SEWCR LATE':
L ASTRUCTION REConr?
Project= Mau aneville/Or hard Hing Sanitary Ssusraoe Collection SraIM
/ f,
Street (or location): 6AI & � ; = -'� _ Dei ve
Contractors_. Lis on Contractors, Inc.
Oats Installed 2l0 ,/u/" 8d -
MH T 0 MH 54Z.
Wye Ste. On Plain 1--Q9,ge
Depth of Cleanout g-9/ V F. Orlow Line
Cleanout z6. 7
Layed • Q
• Pcnf✓0LE Basement Service
2v�u b ti Go p
I" ,
Amounts ps; ininq to work completed this period, reviewed
and approved.
Hsps or Contractors Pop,
j
�
ONUS
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1-311(
Contract No. SD15- 3-3
Property Address: ?419 nixie Drive
SIH 541 to 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.
X4(
s
) 667
\ O a (2402) E
6 8
(2 j
3
D15-541 SAN
SD15_�
\ 42
O
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 .
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56