HomeMy WebLinkAboutLat_17921EbyLaneWASHINGTON
COUNTY
SANITARY
DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN.
MARYLAND 21740
(301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
( ) Units
I q5a. I
To Main Line:
Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDI,&TRICT
To connect to a public sewerage/water 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.
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:
r' _ Date
Plu g Inspector
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing B
Field Offi
'.J'kSHINGTON COUNTY SANITA DISTRICT
UASHINGTON COUNTY, ISD.
Project: Mauoansville/Orchard H.
Street (or location) :�- 5 j 0L4 r ,
Contractor: Calles Contractors, Inc
Date Installed 6 c► 1,g, 093
SANITARY SEWER LATER,'!-
CONSTRUCTION
ATER LCONSTRUCTION RECORID
SD15-1-5
1-7 R 11 E -b.1 lLc v
MH 3o s TO MH 3P
Wye Ste . On Main 06 .�L.4%
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
$x b x 8
6 "PUc
PUCStd,
g.`!3
'
*Horz.= Total
C-
.
-Z `
2Z, 30
NOTES:
Drop
�_ WkOW
ope + Horz=To
Cho
41,
1b
i 4-
3 °!o
Depth of Cleanout 8, 13'F1.cw Line
Cleanout 20, y3 ' From
Layed 0 3
12r) Basement Service
!+0 6.7 R
MHJ 3oS
0
N
MHS 3o b
Amounts pertaining to work completed this period, reviewed and approved.
B Y .J�,z p
WCSD In -spec tor Con ; actors Rep,
Axk►
60
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S _
2� ctniiffar�--;�re
Property Address: 1-1911 Eb4
MH 305 to MH 306 Dwg. #601-056
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.
Z
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:
T- Owner (Print)
weer s ig ure
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC--56