HomeMy WebLinkAboutLat_13315HighlaneStreetWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.�
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE>W �t SYSTEM SUBDISTRICT DIQ ; 5
Maugansville/Orchard
Permission is hereby given to: lHebrotl Mennonite Cnurch 1 15 Hills
For Property Located at: 2294 High Str?et, ( Paramount) - Ragerstown, :'fib 21 740
Ownedby:�iebron Menn- Church Address: 2294 Hiah Stret-t-, Hage rS:` WLi. fiQ '?',
Type of Connection: To Service Connection A
Type of Service: Residential _
Commercial
Meter Size
Units
To Main Line:
Other _
Industrial
Connection Fee _620.00 Date Paid
To connect to a public sewerage/r 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.
Secretary -Treasurer;'^
Building Permit No. 4 ;r "{' -
i
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 ' c
Final Inspection Made BY: sem/ Date v
Plumbi Inspector
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 Plumbing Board LL
Field Offi
Date
WASHINGTON COUNTY SANITARY"00'!STRICT ,W'' SANITARY SEWER LATERA!
WASHINGTON COUNTY, MQ. CONSTRUCTION RECORD
- �, CCN TRACT 5045-6-5
Project:_ I�/ QQQ I ViL E_RCNARD 14ILLS 5AW-rARY SEWEpl PR(��,1'
Street (or location): Neb,r,,7 \J
3 3 / 5 -i4/C.WI
Contr&ctor:.L'_5.eo1q COMTRACTORg
..
MH �oz.� TO MH /dz� �j
Date Installed /2-��_� Wye Ste. On Main_
JILL- I YIJL DEPTH TYPE
I ZE TYPE PIPE C.O. C.O.LATERA
,l
8"�e�" 6.,SGl2�bvvc 6`SGez6l.�rt �, �v �
St'd.
NOTES: in
a
A
Drop
-uM4CA.P
0
EXCAU. AYIN
.LENGTH LENGTH _
*Hort.= Total
Z9. 51- 26, 53 L. F.
i
Depth of Cleanout 707 ®Flow Line
Cleanout 24.5 From ':A_- X1141"
Layed ® Z
YE5 Basement Service
�GQi �V�!'►Gti
MH# / oz4-
-amu iG---
/ MH# ioz5
0f'I-f Rf
Amounts pert ag to Work completed this period, reviewed and approved,
BY -
WC S D r Ina e t o
P Contractors Rep.
I
60
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15- 3-S
Property Address: Church 133/5 41ghlQn,�
MH-1a,Z3_;TP_'M ii lQZ y DWG #601 366
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.
1
1841M
SEWEE
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`dt or near the property
line.
Q
Date: `�%y am /Z /a�
Attest: to
Wash. Co-: Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56