HomeMy WebLinkAboutLat_13719DixieDriveWASHINGTON 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
Permission is hereby given to:)i • � • �_en-4 ! ,3 q
For Property Located at: 2 4 U 6 Dixie Drive
M
Owned by: 4 Len*' Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO.
DATE
SUBDISTRICT
24055 Dixie Drive, i agersto, i. Mei 2174-;1
To Main Line:
Units Other
Industrial
Connection Fee $620 -UJ — Date Paid
To connect to a public seweragetwatet 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.
Water. Account Nu. )--15-7795-6
r Chi
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 Spector
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 Boa
Date
Field Office !- City of Hag. 1
AM -
WASHINGTON COUNTY SANITARY Di! ICT
WASHINGTON COUNTY, MO.
'.Am ITTARY SEWCR LATE',"
L-ASTRUCTION RECnrr?
Projects MemamnevilIs/Orchard Hills Sanitary S.Ma_ra_n. Collection System
/37i9
Street (or loostion): x,.4,1 -f4&6,
Contractors Lisbon Contractors. Inc.
I
Date Installed Z3 JU/u B•d-
g'xc,'-x 8•' I(e"50R 2(0 gyc—
NOTE 3:
ev.G . ': St I d.
MH �' o TO MH s.,f f
Wye Sts. On Main v�._ z Lf.
„SEN TH NTH
*Harz.. Totals
t• ate
5 �-�z/•So =27• i6
L.F.
I Drop I 27.8®4.
Depth of Cleanout
Wlow Line
Cleanout 03.5 row +—mAo 1
Laced AFTER O20p
u Basement Service
Amounts perpining to work completed this periodo reviewed and approved*
oy
YOU Inspector Contrec orspope
2
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
6111 Contract No. SD15- 3-S
Property Address: 6 Dixie Drive
_MH R40 tn 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.
(D 6
665 ( O
(2406) a
:KX:,44Z
Q
5 R/ W
-- MH SDI - 541
8 SAN -
-
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. --al / g
/ / l Own
ESU T �.
- Owner
Attest: '
Wash. o. Sanitar istrict
(Form WCSC-1)
Replaces Form WCSC-56
[WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
t
Address 06
C r�
C
Signed
Prcj5erwner
Date Z/i Z U
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryla.nd 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Gentlemen:
of greaterahereby request permission to install the house lateral
two (2j percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc. ,,0,Zle
Approved by W. C. S . D. Inspector
Il�fll
4-1
..... , �., .Date 6
.I.AIf�