HomeMy WebLinkAboutLat_13606GrandviewDriveNSHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 72J
33 W. 'WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571 (301) 791-3083/3084 DATE / (J
P.O. BOX 571
SUBDISTRICT i`V U . U -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM i l l B/ O rc h d t" ?
Permission is hereby given to: Sh i V'r S
For Property Located at. 23U3 Grandview Drive Hagerstown, GSD 21740
Owned by: 'boy E. Shives Address: 2303 Grandview Dr. Hagerstown, MID 2174%
Type of Connection: To Service Connection
Type of Service: Residential
Commercial _
) Units
To Main Line:
Other __
Industrial
Meter Size __ Connection Fee $62U . 00 Date Paid I % 15185
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.
Water Account No. U15-8155-4
Secretary-Treasuret
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:�� ' Date
Plumbing I 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:
DISTRIBUTION: Permitt
Fiel
Date
Plumbing Board 3
Office i City of --Mag. 1
v�,
WASHINGTON COUNTY SANIT DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE
CONSTRUCTION REC(►i,
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) :=5c���,=����iw►�.�1 t )�. -�f� i� l
Contractor:`_" Lisbon Contractors. Inc. `'► J{�, ,�
�Z
Date Installed
MH � T O MH �'? Z
Wye Ste. On Main C
IZE
SIZE—
TYPE PIPE
TUYE YPE
Ce 00
H
C606
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
„SSW zc,
*Horz.- Total
51,6,—�C
`
. 2
st � d.
Tr
*Slope+Horoz-ml
NOTES: �_ ��,
Orop
,�;
6,z+ 31,7 =3%4
3 `
~—
Depth of Cleanout ®Flow Line
Cleanout �''From
Layed •
• �� Basement Servicel
MH# 59 % 01 7.3
MH#
Amounts r nice t/o work completed this period, reviewed an approved.
�,e/
8Y d. �_ -�
DUCSInspector Contractors Rep.
WashingtoLL County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
13�oc� —
Property Address: 23X3 Grandview Drive
MH 591 to MH 592 DWG. #601-314
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.
R/W�II
DMH SD15-591JW7SAN
�JF
1303)
0
C` J
Lw!��SO4
MH SD15-590
I
IN V. 679.70
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:
Owner
Owner
Atte sr-* -- � � ----
Was Co. Sanitary District
(Form WCSC-
Replaces Form WCSC-56
low
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washlington Street, Hagerstown, Maryland 21740 • (301) 791.3083
RECEIVED
ns
WF,S!!,XNGTON C�. UNiTY
Sf\N11TARY CG-jvV li 61'1 �y
INSPtuIuli DATE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
• r"
•
Address_ 30Yfdyleh/ f iV�
Signed —4
roper y Owner
Date + 1%3 g
Washington County Sanitary District
.33 West Washington Street
Hagerstown, .Maryland 217.0
Re: Maugansville/Orchar�.i !'-V. Sewers
Contract No. SD15-3-5
Gentlemen:
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:
�ra�i��.r ■ wn i�ir.�rirrrrn irrw� ��r�rrr nn i i��r��i � rr
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector �J
Date