HomeMy WebLinkAboutLat_13324HighlaneStreetdASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 633
33'W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE 5/3+/85
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEP
Permission is hereby given to: Terry Burkholde
For Property Located at: �337 High Stree-
Owned by: Terry Burkholde " Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
SUBDISTRICT No • 15
Maugans,__Ie/Orchard Hills
r
2337 High Street, Hagerstown, MD
( ) Units
To Main Line:
Other
Industrial
Connection Fee __ 'SU2u.00 _ Date Paid 5/3/85
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.
.0
Secretary -Treasurer
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 Ins ctor
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: Permitt
Plumbing Board j
Field Office City of Hag. i
WASHINGTON COUNTY SANIT,MA-Y DISTRICT
WASHINGTON COUNTY, MO.
Project:
�► SANITARY SEWER LATERAL
CONSTRUCTION RECORD
CCWTRACT 5045-3-5
Street133�.N ti�hlahc
(or location): CA_ I{rrca lark6,Qlder
Contractor: LiseoN ;0"TRACTOR2
.r'
MH loz4- TO MH loL�-A
Date Installed Jam- is -, Wye Ste. On Main f�37LT.
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE--EXCAU.
LATERAL
LENGTH
LAYIR
LENGTH
g"x�';cF,"„soez6rz�c.
sD.e��
_9V.F
*Hort.= Total
St ' d.
2F� L.F
2.3.-771—
r
Ope t noF;;=-TotJ
Drop
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NOTES:
i
2':ax
Depth of Cleanout 5.Q9v. 4'. ®Flow Line
Cleanout_ From:Z-Iaikj
Layed ® 9 ;� z' STVgCAP
c.o .
Basement Service --
MH# ioZ4
Amounts partaA ag to k complets.d this
9Y 'f -)y
UCSD Inspector
(Form WCSC-4)
�"N
t o� �"R7
ML
MH# ooze -Q
period, revie d and approved.
Contractors Rep.
xM%
Washingtc,_, County Sanitary District
SEWER SERVICE LOCATION
All -
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: -t /332'/
MH 1024 to ISH 1024-4 QWG. #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.
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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 ipstalled by the District at or near the property
line.
Date: �9-1y-F3
Owner-'
Owner
Attest:
Was Co. Sanitary strict
(Form WCSC-1)
Replaces Form WCSC-56