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HomeMy WebLinkAboutLat_13731DixieDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEbWAM SYSTEM PERMIT NO. 539 DATE 3/16/1"35 I.6/1"35 SUBDISTRICT 'ATO.. 1 - Maugansville/Orchard Hilts Hughes �3U Permission is hereby given to: Conway Hu 9 For Property Located at: 2+12 Dixie Drive, hagr rstown, Maryland 21740 Owned by: Conway Hughes Address: 41 Di xi p Qr NasjPr^Sj-r)wt1- res) 71711D Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee To Main Line: Units Other Industrial ;620.00 _ Date Paid 3/15/85 To connect to a public sewerage/fir 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. Water Account No. 0 15-7810-3 Building Permit No A I -) ( . I Secretary- Treasu er 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 5- r / r_\s Plumbing In ector 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: Permittee 1 Plumbing Board 3 Field �- Office Ci -Ly of Hag. __. WASHINGTON COUNTY SANITARY O'A`RICT 'go1NITARY SEWER LATEN WASHINGTON COUNTY, M0.-ONSTRUCTION RECovr, Project: Mauganevills/Orchard Hills Sanitary Ssueraas Collection Svatew !3-731 +1hcs _ Street (or location) t Contractor! Lisbon Contractors. -Inc. MH :5 59 TO MN 53 Date Installed 8w- Wye Ste. On MaiWYE SIZE— TYPE DEPTH TYPE EXCAV. LXMG n PC.O.TRA EN TH NTH e x6�8' �oRz�cmc. 6'ao2 *Horz.• Total PVC, 5.951/ F St 1 d. 33 8o ( . F• NOTES: Drop Depth of Claanout s-�s�_•flow line Cl@snout...2z..-7Fr om� rr►nOu layed • Z • uD. Basement Service 3 S- -- = '2 .. wl — l SNI 53Pi c•o --- -- ....25fub -4 . Amounts per 3nin9 to work completed this period, reviewed and approved. nsp c or Tontrectors map, Washington County Sanitary District •`. /�hX D,5 PT SEWER SERVICE LOCATION 10 TE kA ? Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: Z '(f2 Dixie Drive X39 to ISH 53$__ 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. 0 646 P (2412) Q ©WM ��- �Nt� ".5 �k 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. 1 Date: 5����3 0 61- V'." d2L--A C- I Ow er Q Owne Attest: Was Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 53Cj - 53Q'S 0 COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 n To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: N Address / Z > c Signed roper, / wne tV- Date Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21740 0 Re: Maugansville/Orchard Hills Sewers v Contract No. SD15-3-S Gentlemen: r We hereby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: C� 4� 1 Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector C Date -,_/7-7/' Y