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HomeMy WebLinkAboutLat_18022EdithAvenuePERMIT 1266 WASHINGTON COUNTY ENGINEERING DEPT. County Administration Building 100 W. Washington Street, Room 334 Hagerstown, Maryland 21740-4727 (301) 791-3133 PERMIT TO CONNECT TO PUBLIC WATER/SEWER SYSTEM PRJ95-0774 061 Application Date: 05/1D/1995L SEWER Expiration1Date: 05/06/01996 Applic Sanitary No: Subdistrict No:15 Sanitary Name: MAUGANSVILLE/ORCHARD HILLS Permission is hereby given to: Property Owner: SYLVESTER ROY A 15136 NATIONAL PIKE HAGERSTONW MARYLAND 21740 For property located: 18022 EDITH AVENUE HN phase: Sect: Lot No: 22 Subd: BREWER HEIGHTS WCSD Dist/Coll System: $ 1,500.00 Lateral W/Mainline (Y/N): Y WCSD Ready to Serve: $ 700.00 Residential EDU's: 1 WCSD $ .00 Commercial EDU's: City of $ .00 Gal/Day Allocation: TOTAL FEE DUE: $ 2,200.00 Utility No: TOTAL PAYMENTS: $ 2,200.00 BALANCE DUE: $ .00 Comments: ************************************************************************* When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and the Washington County Sanitary District. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON TY CONNE TED THEREWITH REMAINS WITH THE PROPERTY OWNER. aS Si n ure Date INSPECTION: AT LEAST 48 HOURS NOTICE IS REQUESTED PRIOR TO INSPECTION. ON-SITR Inspection will be made by Washington Co. Plumbing Inspector Phon 0 7 gyp.- 9S� Plumbing InspLwctor Inspection Date OFF SITE INSPECTION (In Public Rights of Way & Easements) by Washington County Sanitary District. Phone: (301) 223-9416 1gCSD Inspector (Lateral) Inspectiiork Date WCSD Inspector (Connection) Inspection Date MAI 151�yu �yp�t�7�h Lu. SANiMeoy nISTRiCT WASHINGTON COUNTY SAN 11"ARY.aISTRICT WASHINGTON COUNTY, MD. Project: 5D lrj-6lq 13R ,cri f44-:gw3 T ,,c� Street (or location): C017;1Avc i $`a�01 5 4V Contractor: (-Um Z'-A-QyAa_b-v — .ra SANITARY SEWER LATERAL CONSTRUCTION REPORT MH /n37 TO MHS /038 Date Installed 7�Z��94 Wye Sta. On Main O-+ 79•(-, sJ Lot # z 2Z. WYE SIZE- TYPE DEPTH TYPE EXCAVATION LAYING LENGTH TYPE PIPE G.O. C.O. LATERAL LENGTH Horiz. = Total STPD. 8)(6x8" 6"5ora-zb-wc-6"A,N La ►Z / � _ Slope + Horiz.y�ot I NOTES-. DROP �� ( i I Depth of Cleanout I at Flow Line Cleanout /SFrom w-- of Layed at Z'/o P18 Basement Service 'p- 1)i $tw. a 0-r7V9.6 MH # 103-1 u MH# io-g Amounts pertaining to work completed this period, reviewed and a prov d. BY SD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY R�1S10N SANITARY SEWER (DOUBLE) SANITARY DISTRICT LATERAL SHEET