HomeMy WebLinkAboutLat_13618GrandviewDrive��-�VyASHINGTON COUNTY SANITARY DISTRICT
33 W. 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 Irl a u g 6 .
Permission is hereby given to: — '
'anet . Jones
For Property Located at: � 3 U 9 Grandview Drive
Owned by: Janet Jones Address: x'309 Grp fk!iew i_+•ry:= ,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
1 Units Other
Industrial
Connection Fee $62U.60 —. Date Paid / / 2,5 /'4
To connect to a public sewerage/wafter 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water Accouat No. 0 -11'i -d140-6
Building Permit No
On Lqll� 0aij c
Secretary -Treasurer
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 pector
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: Permittee
Field '
Date
Plumbing Board
Office City of Hag. 1
I
5
WASHINGTON
COUNTY SANITAf
DISTRICT
SANITARY SEWER LATE'•"�_
WASHINGTON
COUNTY, MO.
LAYINU
LENGTH
CONSTRUCTION REC(ii;r
Project:
MawQansvil_le/Orchard
Hills
Sanitary Sewerage Collection System
Street (or
location) :
/ J'aty
J GHNevI
c�,� i�P►uc'
Contractor:. _____ Lisbon Contractors Inc. 77�111rC-4 rTcrt,-'C-
Date Installed 7-/1- EJ
MH 155'0 TO MH 5'51 ,
Wye Ste. On Main
UYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYINU
LENGTH
L' Y,
.
�' P Y e
*Horz.= Total
it
Sr.> Ze
St'd.
/Z•13
D2- 35
Irm7ope + z= o a
Dro
NOTES:
M p�H
C LE AAI ou7
Depth of Cleanout 6-051 ®Flow Line
Cleanout /1)''6 From C M,,+iA4
Layed ® S
t�Nk_vo._=r Basomont Service
MH# 5Q,
MH# �; 5 I
Amounts pertaining to work completed this period revieWad d • ro
BY CSG/
WCSD Inspector ontractorRep.
a
Washin''")n County Sanitary District
SEWER SERVICE LOCATION :$
Subdistrict No. SD#15
Contract No. SD15- 3-5
Property Address: c C, gA&i n u LF 1_,i
__ ___�►'1� 55 o To AH 5 5 1 �� c, fir,; o f-
Place an 'X' in the sketch below to indicate where the property
owner warts the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location,
e}.r -. q, :.ye -t '� k'w A,:.a.? -rte `°. .+•nv+s+wyi•• r.+- y,�F'�''-
w
�.r
_. Cdr
=
Me
I
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 rpt or, near the property
r line.
Date:
f / 'er
t
l Owner
Attest:
� "
�' A }�
Co. Sanitary District
y
(Farm WCSC-1)
Replaces Form WCSC-56
PASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Z
Address 30 �,QpO Vl�c,y iaQ��f�
Signed
rope y Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 217.0
Re: Maugansville/Orchard Hills 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:
�=" rp
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector �s f�
_..�
Date 131041