HomeMy WebLinkAboutLat_13504EssexDriveWASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERAL
WASHIN-GTON COUNTY./ MO. CONSTRUCTION REPORT
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Street (or location) :
Contractor:
Date Installed 9',-2,y-,'3
MH /,7�5— TO MH9
Wye Sta. On Main , i+1 -z d --
WYE
SIZE -
TYPE PIPE
TYPE
CO.
DEPTH
CO.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
V5C12,:: 2r,
Sl �ScH "fo
Horiz. s Total
c�X`rX
'AIC�c
STPD.
NOTES:
DROP
Slope + Hor . -Tota
Depth of Cleanout at Flow Line
Cleanout 4V From 4-1 of of
Loyed at
Basement Service
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S -M, 1+1+2 -LT
MH##
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Amounts pertaining to work completed this period, nevi c:n1daDprov
CSO INSPECTOR CON RACTO 'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S - 2
CTON WASHINGTON COUNTY
A WATER & SEWER DEPARTMENT
e
16232 Elliott Parkway
Williamsport, MD 21795
'RY`P.(301) 791-3083 l I
Permit to Connect to Public Water/Sewer System
Type of Permit RES EWER Permit No. - ! `- r -1� 50
Subdistrict Name MA GA Issue Date ' v
Mainline Contract No. 385 Void Date
Building Permit No. P Subdistrict No.
Permission is hereby given to:
Property Owner: NORTH VILLAGE DEVEL .
of address:
For property located at: 13 5:? 4 ESSEX DRIVE Street Address
Lot No. Subdiv. NORTH VILLAGEPhase Sec.
Owner's Agent: HIGHLAND HOMES
Agent's Address: 1052 HAMILTON ELHAGERSTOWN MD 2174U
Previous Owner:
YES
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 05722700 Residential EDU's 1
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Remarks
Fee
Fee
Fee
Fee
Total Fee
Commercial EDU's
Gal/Day Allocation
Building Number
Misc. Number
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 County policy.
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 RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY.OWNER. ;
I luate: Signed l J
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, 0 4727
79
�j Phone: (301) 791-307-307 0
Inspection Date: �� "2 €i - l7�j Plumbing Inspector: /
REGEVT
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