HomeMy WebLinkAboutLat_18506IndianCottageRoad(WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEiWATER SYSTEM
PERMIT NO.
DATE
SUBDISTRICT
Permission is hereby given to: Arnold Rodg ua rd
For Property Located at: 2312 Indian Cottage Road IQj LO
Arnold Rod card Address: '2312 Indian Cotta g Road. �
Owned by: g g - Hagerstown, END
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size Connection Fee $620 * 00 Date Paid
To connect to a public seweragelmabf 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 RESPON
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
J114!
Secretary -Treasurer V
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 Insp'i56tor
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with,appticable 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
Date
Field Office
x J
WASHINGTON COUNTY SANT .6RY DISTRICT _ ANY SANITARY SCWCR LATE'
WASHINGTON COUNTY9 M0, CONSTAOCTION RECINIP
Project: Mauu,navi
Street (or loostion): d7 111Z.5 _/� /AN Corr, R0-
Contractor: Lisbon Cgn a. nc.NOR-
MH
Oats Installed Wye Ste. -an-I A
Depth of Cleanout co V r Oilow Line
Cleanout 2o.9 From
,
Layed
• Po-s5/CLE Basement Service
' 2'sr/ubti:'C4P .
.'z3
Amounts portaining to work completed
8Y Inspector
If08.5 _
this per*od, rtwiewed and
rc�
7, -
Contractors Repo}
C. 01
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
[ g !�Ck- Contract No. SD15- 3-S
Property Address: 2342 Indian CQU age Road
dl—
MH 523 to MH 524 DWG. #601-320
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.
INDIAN COTTAGE ROAD
`b
1
723
0 (2312) F�
' R/W�
s
MH SDI5-523 8" SAN MH SD15-524
6 W-�- ' R/W -
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: = E G 9
caner —'
fl
RN o 1- f1 Ro C-1 R
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
ILASHINGTON COUNTY SANITARY DISTRICT
W
ii
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
{ I hereby request the contractor to install the lateral in
accordance with the following conditions:
f7 -14L��24 1A 114 -A/
,At �
nddress_ -
„.42�w
1
Signed
per y Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
o Gentlemen:
We hereby request permission to install the house lateral
of greater than two
(2) percent and/or in
accordance with the
n`:--
above conditions at
no change in contract
price at the following
location:
Requested by Lisbon
Contractors, Inc.
;approved by W.C.S.D.
Inspector
l�
Date S- 4- 8 4
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