HomeMy WebLinkAboutLat_13803NorthcrestRoadWASHINGTON COUNTY SANITARY r --'STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATEi-
CONSTRUCTION REC(►i;,-
Project : Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : f;A I' 96,4 Zebt7 /VbRTNCReST PCS. P' `4--inu 0, &Kcc
Contractor: Lisbon Contractors, Inc.
Date Installed 5 APS. 3¢
MH &42 TO MH (,Q3
Wye Ste. On Main ��-06 Rr.`�
SIZE
SIZE—WYE
TYPE PIPE
COO*
H
C.O.
TYPE
LATERAL
—EX-EAV.
LENGTH
LAYIRG
LENGTH
8';ch''x8..
aD�t26 mac.
6'�o�i�w,
+►Hort.= Total
St'd.
/
ope + orz= o :
NOTES:
Drop
2g.cx��,F
�6��5+i1.83=so.58c.F
2'1 TU15t!-'CAP
i
Depth of Cleanout arlow Line
Cleanout 2Q' rem -477111
L a y e d® 2 % ecTe�pq oeop
Basement Service
2 5"ub 4 Cop
M /�D�TNcz5a5-r P1 z
MHS 6�
MH#
Amounts part inq to work completed this period, reviewed and approved.
C
BY
WCSD Inspector on rectors ep.
JN COUNTY SANITARY DISTRICT PERMIT NO.
, TREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
DATE
SUBDISTRICT
,MIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Mauyansvi i 1e/urcharU iii i is
Permission is hereby given to: j�h r.ilD11 ; (• - -1-1t i"0 0
For Property Located at: ?,Sit l O Nn Y'1- h c y -,- _r t. Road
Owned by: CheregO Address: 2500 yortiicrest Road, Hagerstown, Mtn 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee Date Paid
To connect to a public sewerage/water 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.
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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing 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: Permit
Plumbing Board
Field Offi
Date
/ .
0.
1 Llc
,.t ��1.4(_ W y-r6yz
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
Property Address: -2Sr Northcrest Road
ISH 642 to ISH 643
DWG. #601-341
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.
(MAC.)
8 SAN .
r7r64
-- — — —GAS -
1 Nn — -S'
I d' R/W:
�-11� � o
CVW 4Q 000 O
= 3 964 0 3 0 9
N (2500) (2
q o
X---,
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 IZ 3 NrNv0-
Owner
Owner
Owner
Attest:
as Co. Sanit y District
(Form WCSC-1)
Replaces Form WCSC-56
0001,
PASHINGTON
/i
13k /1L 33 West Wah
COUNTY SANITARY DISTRICT
ngton 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:
lit
Addre s s_ r 127z &
0"-
Signed y� ��
roper y OwfiCai,
Date I 0 — j�;- `�-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard 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
Date ( I - ��