HomeMy WebLinkAboutLat_13718DixieDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083!3084
P.O. Box 571 DATE
SUBDIST No. • 1 6
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM RICTh a r 1 I i S
Permission is hereby given to: Mfr. Woodrow ( F? (tb;. � 3(Aw
For Property Located at: L405 Dixie Drive_. iiipL't'SsOWt' jaryiand G 174U
Owned by: Woodrow F. Fauber Address: _2405 0 x'.4 D �a-Urstown MD 2i740
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units Other
Industrial
'1620.00
Date Paid I?oruai'y 2i- i9fi_
To connect to a public sewerage/.WAMrsystem (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.
i
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: Date
Plumbing Ins PIKor
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: Permitt
Field
Plumbing Board
Office
WASHI..GTOW COUNTY SANITARY Dl 1i ICT
WASHINGTON COUNTY, MD.
Project: Mauoensvi
UNITARY SEWCn LATE'."_
JNSTRUCTION nECnvr,
137/8 -
Street (or loostion): CAI Qixi� l�eivE
Contractor: Lisbon Can rectors. Inc.
I
Data Installed z )C /L4 84 -
TYPE "P C.O. LATER
8"X6"R 6" G'.iDrz z& La/.c. if/,
PVG . 7. 08V G St d,
NOTES: I Drop
MH 540 TO MH 54 f
Wye Ste. On Main o+3-7 5 q
Iw"Or2. • Tota
Zcf. .35 L.F.
Depth of Claonout 7._0cFV F. 4Flow Line
Cleanout z7.a rom
layed a x
• Pbaitoc & Basement Service
Amounts portalninp to work completed this
BY
nspec r
r. - -?Sfub t�C4P
r
per:odo reviewed and approved,
Contractors Rep.
Washington County Sanitary District
rMk SEWER SERVICE LOCATION
Subdistrict No. SD#15
1 3.71 1 Contract No. SD15- 3-S
Property Address: 2A'I:f5 Dixie Drive
MH 540 to MH 541 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.
0 1 8"S A N
--� _ R/ W I
MH SD15-541
2, ------
�i
0000 �
662 Q
(2405) I
(2 3)
O
S/V
0
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
wner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56