HomeMy WebLinkAboutLat_18522IndianCottageRoad-HNGTON COUNTY SANITARY DISTRICT
_MSHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O:'BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
PERMIT NO. `-
(301) 791-3083/3084 DATE 11/6/85
Permission is hereby given to: C o u n d r y Art, Inc.
For Property Located at: 2306 Indian Cottage Read
SUBDISTRICT i,)
Maugansv.,i'/Orchard Iii IIs
Owned by: Country Mart, Inc. Address: MAX.IN91II4 Rt. u, sox 257, HagerstoKn, AD
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
) Units Other
Industrial
Meter Size _ Connection Fee 21 y .') O Date Paid 1 1 / b / 85
To connect to a public sewerage/Weber;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 -Treasure
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: 79 -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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field I Office City Of Hag.- 1
WASHINGTON COU4TY SANITARY 0' RICT 1NITARY SEWER IATEO
WASHINGTON COUNTY, MO.-JNSTRUCTION RECovr,
Projects Mauaaneville Orchard Hills Sanitary Sewerage Collection Svete■
Street (or location):
Contractor: Lisbon Contractors. Inc.
f
MH 553 TO MH SS4
Date Installed Wye Ste. On Main Z 14•& RF_
__1_.
25lub1�C4P
Depth of Cleanout 1-3, (oo...._._�
•floe Line �
Cleanout 14.7&v row -U--m
tared • 2 . v x
• hf!A Basement Service
5rq. 2.+14,0 K -r.
!M4# 553 -�� MH# 554
2 Sim b 1: C4 p
f
Amounts pertaining to'work
J completed this period, reviewed and approved,
BY k6
KID Inspector Contrnctore Rep.
0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
Property Address: 2,1,d6 Indian Cottacle .Road
ISH 553 to MH 554 DWG. #601-312
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.
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.
f
Date:
Owner
r
Owner
Attest:
Was . LCo:�:.e-OSanitary District
(Form WCSC-1)
Replaces Form WCSC-56