HomeMy WebLinkAboutLat_13723DixieDriveofmz:) HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 t, WASHZTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE 3 4/`.o
P.O. BOX 571
SUBDISTRICT ?!0• 15
PERMIT TO CONNECT TO PUBLIC SEWERAG E/WATER SYSTEM 2 augansvi l l.e/Orchard ii l iS
Permission is hereby given to: 144. Goorge F. Brandt/ t / 3-�
For Property Located at: '446 .nixie Drive, Hagerstown, Yleir'yiand 2*i%40
Owned by: - Address: 2408 Dixie Dr., Hagerstown, T) 2
Type of Connection: To Service Connection " To Main Line:
Type of Service: Residential ( 1) Units Other
Commercial Industrial
Meter Size _ Connection Fee $620.00 _ Date Paid
To connect to a public sewerage/Watgr 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.
Wacer Accour 4o. U-15-78UU-u
Building Permit No.
Secretary-TreaCurer Gly
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: 7 -3146
Permit Fee
Final Inspection Made BY: Date-
Plumbing
ate_Plumbing Inspe or
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) arid 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 1 City of Hag 1
WASHINGTON COUNTY SANITARY DI!AMA,ICT
WASHINGM COUNTY, MD.
'0"1ITARY SEWEn LATE':'_
,,..ASTRUCTION I uovrt
Project= Maucansvills/Or hard Hills Sanitary Sewerage Collection Swats•
i37 � 3
Street (or location):
ContractortLisbon Contractora- Inc. L
Data Installed 23 Ju/u e -d-
B x6"x6'
NOTE 3:
SDa2GFVC- ' roe Of, I
PV(- •
2'Siuhtt'Cop
MH T 0 NMI 5¢1
Wye Ste. On Main o a- 1o.5Z1-4.
*Horz.• Total
St 1 d. 2Q.Y0 L.F� i c
Z Z. roS L.
Drop
MAJ AJ
1
1
51DGi t10 RV.G..
2 9'0
Depth of Clssnout -7--75V-F'- •Plow Line
Cleanout zo - -7 ram -i--m4=17
Laced • z
• Pet55/acE Basement Service
t; Cap
•
r
Amounts p•rtainin0 to work completed this period, reviewed and approved.
A
BY
nsp c or on rec ors Rep.
^,
.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
I-);�?.p Contract No. SD15- 3-S
Property Address: 8 Dixie Drive
-1H .r,Lfl t o MH H41 _ DWG, -,4601-321
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.
i
G3 6
� 65 aAi
664 ) 4
(2408)
Q s)
�
RI'N
g"SAN
MH SD15- 541 8
---\2 W
oo�o o
F6 61
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 p-,� ty
line. / �\
Date:
Owner
Owner •
Attest: / Q
Was Co. Sanitary D' trict
(Form WCSC-1)
Replaces Form WCSC-56