HomeMy WebLinkAboutLat_13610GrandviewDriveWASHINGTON COUNTY SANITARY DISTRICT
334 WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM , ; ; 1
�. - V i i i C �'(J r C 1 a r
'
Permission is hereby given to: c.d L+'ir' L • i�,) rpper �lY1 l Is
For Property Located at: 2305 Grandview _Drive, Hagerstown,- fflaryland 21%4U
Owned by: Rachel i., Knepper Address: 2305 Grandview Dr., Hagerstown, MD 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
X
-I) Units
$62`0. u
To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage/Wa¢tr system (with proper abandonment of Rrevious private system). The installation
of the connection and the abandonment of the previous private system shell 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water yo. 015-8150-3
Secretary-Trea VE,
r
Building Permit No. <_ C
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
Plumbing Inspector
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permit
Field
Plumbing Board
Office !
WASHINGTON COUNTY SANITi DISTRICT SANITARY SEWER LATE
t•!ASHIdGTON COUNTY, MO. CONSTRUCTION nEC(►i�
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
f 3Ltw
Street (or location):,CZCi'A,(bV �l .1��. �,A: 6-
Contractor:` Lisbon
Date Installed I F -
NOTES:
0M
TER
St'd.
Drop
MH '-5V ( TO MH fqZ
Wye Ste. On Main / r -C,
LENGTH
*Horz.• Total
+ Morzs
-3(,, C7 G F
C+z6' ; 3c_� "
Depth of Cleanout ! GFlow Line
Cleanout 3Z ' rem
Layed •
• `,� Basoment Service
Mli# MH#
Amoupf�tai�in9 to work completed this period, reviewed and approved.
n
By
WCSD Inspector J Contractors Rep.
a--,, cop -y
�/1Z1b9
Property Address:
Washington County Sanitary District.
SEWER SERVICE LOCATION
Subdistrict No. SD#1
3(Z 10
Contract No. SD15- 3-S
V5 Grandview Drive
MH 591 to ISH 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.
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.
r
Date: 12, /qa3 Aa� Y ,.
caner
Owner
Attest: &Zzz,,
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
► V E D
"Ji';Sri i :GT%1 C0! 1�1 Y
SIT I I",r- e
V 13
DATE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_, .BUJ
" Signed
PropertyOwner//
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, •Maryland 0-171.0
Maugansville/Orchard Hills
Contract No. SD15-3-S
a
• Gentlemen:
Re:
It
Sewers
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:
Sud �:eJ T� wf37�2 L�1,7e
Aw-
--�
•
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector �✓�
Date //8l