HomeMy WebLinkAboutLat_13328HighlaneStreetVASHNGTON COUNTY SANITARY DISTRICT
'W W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGErAW" SYSTEM
Permission is hereby given to:
For Property Located at: ' d + .1 fit ;it j -
Owned by: A! y e y +; . P; t s t10 c 1 Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
PERMIT NO.
DATE
SUBDISTRICT NO, 1.5 —
11IAUGANSVI-LLE/00HARD HILL
2341 High St ---et, Halters .j
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee $020.00 Date Paid
To connect to a public seweragelr 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.
Building Permit No.
Secretary-Treasur r 04
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_
Plumbin Spector
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 3
Field 1 Office__
Date
City of Hag. 1
FLQ4c
WASHINGTON COUNTY SANIT `Y DISTRICT
WASHINGTON COUNTY, MO.
Project:
VRCgAR0
SAM 17ARY SEKJE+-i
Street (or location): T�
Contractor: Li5eo)g CouTRACTOR*
Date Installed 17 NJ0\1 E33
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
CON TfZAC T 50 4 5- 3- 5
MH I C; ZG1 TO MH 10 7- 1
Wye Sta. On Main 1447- ccr
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
PVA
C° AVL
S .e>=
St' d.
*Horz.= Total
SDe. Z(o
Sn2 Z (.4
WST-oPe + or2= oto
NOTES:
Drop
Z1 .Q L.V
3.-S IV r 19.1.
e
Depth of Cleanout S� ®Flow Line
Cleanout lu From
Layed 0 Z
N ES Basement Service
�a2Q
MH# I QZO I44z-
MH# 1 UZ
Amounts pertaining to work completed this period, reviewed and approved.
8Y
UCSD Inspector Contractorsep.
�.,�„_(Form WCSC-4)
AMN
' Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: t 332ahlanQ S�
_MH 102D to MH 1021 D .I ,_ J_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.
`0.0
�
x
,
o� Qo
t0
m' w
a� v
zI Z
' _
N w
14 Cl _
tiN r
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.
Date: Ri X65,V 0 ?Ar
Owner
Ow
Attest:
Wash, o. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
Y
WASHINGTON COUNTY SANITARY DISTRICT
11 ii
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3063
To: Litbon Contractors, Inc.
641- / (�' I z
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address
Signe
Property owner 7
4
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugdnaville/0rchard Hills Sewers
Contract No. SD15-3-S
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:
Requested by Lisbon Contractors, Inc
` Approved by W.C.S.D. Inspector J-1r/:,►Q%� r�
Date X42