HomeMy WebLinkAboutLat_18625JarkeyDriveWASHINGTON COUNTY SANITARY ASTRICT
WASHINGTON COUNTY, MO.
�. SANITARY SEWER LATE-.:
CONSTRUCTION RECmir!
Project: MauasnevilleLOrchard Hills Sanitary a-were^e Collection Srstsw°_.
Street (or location): 6,41 �zw N�N��z — lrv��sr�i' l�z• _
Contractors ,Lisbon Contractors, Inc.
le6 TO MH 8�'1
Oats Installed
H F 7
WTL DILLS 1 Yrs LILrIn I VV'1. WPMon W0 16nI a 111
11 ZE TYpE EIPELC.G.LATERAL EN TH LENGTH
AIOAIE 6"45OR Zb PV.G. *Hors.- Tot
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NOTES: Drop
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1q. 5 - _Jf HA 141
tb•`7 I
6" soFR 2G Pvc. I
P Ips►
?',-4 u 6 1%C�p
4�° BendS
Depth of Cleanout 9, 7 q flow Line.
Cleanout 0,13 ./��-LhAlu
Laced 7� AFTER D20P
A/o Basement Service
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Amounts pertsini to work completed this period, reviewed and approved.
BY.�
UCSO Inspector Contractors Rep.
a
Washington County Sanitary Distric
�.,. SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD1 5- 3-S
Property Address: Grove Hanger Industry Drive
ISH 827 to ISH 828 DWG. #601-354
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:
Owner
Owner
Attest:
Wash. Co. ;tarBy�District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. Box 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: __ a uv',� Hanger (grove Manufacturin
PERMIT NO.
DATE
SUBDISTRICT —i10- 15
to Orchard
Hilt
For Property Located at: industry drive, Hagerstown, Maryland 21%4U
Ownedby: Grove Manufacturing Address: P.O. Box 21, Shady Grove, PA 17%S5
Attn: Dave Singer
Type of Connection: To Service Connection n To Main Line
Type of Service: Residential
Commercial
Meter Size
Units Other —
Un i t Industrial
Connection Fee `6620.00
Date Paid
To connect to a public sewerage/waxer 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.
~
,J a t ? r No Unavailable Secretary -Treasurer
Building Permit No. V
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 I pector
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
Date
Field Office City of Hag. 1