HomeMy WebLinkAboutLat_17923GardenViewDriveN. -WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W.UASHING'TON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. Box 571 DATE
SUBDISTRICT ' o. 1 '
PERMIT TO CONNECT TO PUBLIC SEWERAGENVATE.SYSTEM ? Tv3flUga213V1 /CI'CY1
Permission is hereby given to: U� i,a u U ; u i'; 3 Rte► �
For Property Located at: 1.61 Salem Road
Ownedby: Gerald Oyerdorff Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
_1 -u Halters town ted
To Main Line:
( ) Units Other
Industrial
Meter Size _ Connection Fee pll (l r7 Date Paid
To connect to a public sewerage/ 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-Treasu r
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbin spector
Date
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field Office 1 City Of Hag. 1 `
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Depth of CleancWt 2.K r< flow Line —�---
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AmountsEinin to work completed tris period, reviewed and approved.
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SANITARY SE''E" LATE ;-
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COUNTY, MD. �
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Date
Installer'7_Z6-83
Project:
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W. 131-4
1350
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Installer'7_Z6-83
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Depth of CleancWt 2.K r< flow Line —�---
Cleanout S2. -1 ` !'rom t *,N 130 - g
Layed C .00a j
^JJ'e Basement Service
C. o.
W. 131-4
1350
Fi.0%.A TERM. MH—'' /31-,3
STA I+aB'
AmountsEinin to work completed tris period, reviewed and approved.
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Property Address: VACANT
Washington County Sanitary Distric
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. Sn15- 1 ►S
JAMES MARTI N
MH1-1lA to MH niR�de,(,VI j -2C _1
— nwr, #017A
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (LCeral) to enter. the
property. Place a wooden stake in the ground at that location.
I �
i 17A
I I�
I 1 1 K06
yAC.ANT LOT
AN. MH SD15 131 A _ ---- -- - ----
— 3
R w 8.. e ' w
SAN
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 propert
line. y
Date:
• caner
Attest:
Wash. Co, Sanira y p�istrict
(Form WCSC-1)
Replaces Form WCSC-56