HomeMy WebLinkAboutLat_13326HighlaneStreetWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE
P.O. BOX 571
SUBDISTRICT Na` 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/SYSTEM Maugansville/Orchatrd
Permission is hereby given to:
Russeil E. Wishard j1... Hills
For Property Located at: 2339 high Street, Hagerstown, Maryiana 2't/40
Owned by: Russell 11. Wishard, A-8dress: 2339 High Streeti*0
Type of Connection: To Service Connection
Type of Service: Residential Units
Commercial
Meter Size _ Connection Fee $620.00
_ To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage/Z= 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.
Secretary-Treasuq�l
Building Permit No
INSPECTION: At least 48 hours notice prior to requestedtiate 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 for
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
Field Office 1
Date
WASHINGTON COUNTY SANITi"v DISTRICT
WASHINGTON COUNTY, MO.
Project:
RC
Street (or location): 6/;.'
Contractor: LI5eoN C0MTRACTUr R--?�
Date Installed /2-,
SANITARY SEWER LATER�tE
CONSTRUCTION RECORD
CONTRACT 5045-3-5
13 3 W18Fh !a_1 -e '`S'f .
MH t 4 TO MH i0rd A6-,"
Wye Sta. On hlai0, r-Df-ClU L
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
5 0'�'V F
*Horz.= Total
St' d.
z�
ope + oF;= o <
-&)41G" 5r
Drop
NOTES: ;
2
Depth of Cleanout �.BZv:r" ®Flow Line
Cleanout - -7.o. Frommt.N
Layed 0 3.9 �
oohs fes; �� Basement Service
MH/ -�
L07
MH# iDz4-A
i
Amounts pertaig to Work completed this period, re!�I'ewqd and approved.
8 Y
UCSD Inspector Contractors Rep.
0
Washings County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
` /✓
Contract No.
SD15-1 S
Pr erty Address:
2 3 3 9 M t a h7frtzeat M,) -o
ISH 1024•-A
_ L.,&TC—r AL Jkrro MN '�
DI►C; _ jr, na—�Ffi
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.
Q
Q
�
� C1
0
WALL
N
w_O
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. w
Date :
1
Owner
.l�casse 11 — (.11 l`-1-t1412n �1?
Owner
0010, At
(Form WCSC-1)�-,
Replaces Form
TCSC-56