HomeMy WebLinkAboutLat_18530IndianCottageRoad61 HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
4SHM6TON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE
571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEtWATER SYSTEM M a ug a
Permission is hereby given to: Sere' St" �V_
For Property Located at: 2302 Indian Cottage Road, riay.erstown, i,,-cyx«yid 2i
Ownedby: Ser01. Si, Address: 2302 Indlar Cottage Rd,Hagerstwcn, M0 21%2;()
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee < 6 Z U JU Date Paid
To connect to a public seweragelwat6r 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.
., _, L-15-8305-0
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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
PI u •)ing Insorctor
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: Permittee Plumbing Board
Field Office ;
VASHIWGTON COUNTY SANITARY 01 AICT
WASHINGTON COUNTY, M0.
NITARY SEWER LATE',"
,-JNSTRUCTION REC(Nuf?
Projects MauoansvilleLOrchard Hills SaniSsr. Serreraoe Collection Srat211
/ iTS30
Street (or location): r,,4% r 17 [•Z2 TAuDiAPJ CorrA&F- ROAD
Contractor:Lisbon Contractors, Inc. -
MH 553 T 0 MH 554
Date Installed 8-10-0+ Wye Ste. On Main 0+3/,Z L�,234.
"x &
NOTES
116
.
f
18.1-7vF I St' d.
*Horz.• T
Drop 28.10 L -F. 15.1(5-}- 14.50 -
29��fl t -.F•
NAI J
j -f 0-57
"Sf�R Rv.cr
apo •
Depth of Cleanout 0.1 VF (flow Line
Cleanout 23.0 row -t-►MA,A,
Layed 5 5 AFTER Deon
W,,&, essement Service
rssr�► ot31.t RT
v — N v
Mf553 ss4
G.D.• ••,.
Amounts pertaining to work completed this period, reviewed and approved.
BY
WESO inspector Co---rec ore Rep.
+*►
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1 3b Contract No. SD15- 3-3
Property Address: 23 2 Indian Cottage Road
MH 553 to MH 554 _ ni it --- ---
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. �
Date: �' S 3 —
Owner
Owner
Attest: �./�►' c�
W --ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Weshington Street, Hagerstown, Maryland 21740 • (301) 791.3083
0
To: Lisbon Contractors, Inc.
44 r .
I hereby request the contractor to install the lateral in
accordance with the following conditions:
8 DEE 47- 1PlZo12L27"y (-1 NF
01
-----------------
'0W Address -030?- /ND/,Qq Co LUE Po,4O
Signed
Pr er y ',.Owner
Date z��1 ��3y_
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
a
• Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
t above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
To +o