HomeMy WebLinkAboutLat_19304LongmeadowRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE E -R SYSTEM
Permission is hereby given to: Wdr'd[IIQU11
For Property Located at:
Owned by: Donald Martin 3 Address:
Darrel Markin
Type of Connection: To Service Connection �
Type of Service: Residential
Commercial
Meter Size
PERMIT NO. ioh
DATE
SUBDISTRICT I 10 - 15
Maug&n*vi1 e rc arC
Hills
23 W. Longmeadow Road, Ragersto-wn, MD 2'(741,1
I ) Units
To Main Line:
Other
Industrial
Connection Fee $62i3-ou Date Paid I ; _ ,:4
To connect to a public sewerage/plies' 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.
&1,", 0. - 2 �""
Secretary -Treasurer V 0 % -1
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: 'D �U. .► Date
Plumbing Inspector
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 1 Plumbing Board 4
Field Office 1
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWCR LATEO.';-
WASHINGTON COUNTY, MO. CONSTRUCTION REC(Jkl
Project: MauQansville Orchard Hills Sanitary Sewerage Collection System
Ig 30
Street (or location): G4I f050 h!. Lo,tfGAftcyw
Contractor: Lisbon Contractors, Inc
Date Installed 27M4Q.8¢
MH TO MH Oso
Wye Ste. On Main
ozg @ so�
WTL
SIZE
JLCG—
TYPE PIPE
I ir-e_
C.O.
vGrin
C.O.
I Vr&_
LATERAL
a. n4.nv.
LENGTH
VnI AIIV
LENGTH
IUO)LIE
3 PMC.
CAS--/FS0X4
. , -_
o
*Hort.= Total ------
c4 A w/
St 1 d.
ro"avt-•
M • N
STAG K.
*Slope+ orzz oFal
Drop
�'24OL.F,
7.73165.8¢='7567L.F
NOTES:
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3.8
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� �4 C�.tiS
Cy45 x•141 U
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i
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I1►•�
i M4►N t.►I`I S-11
2'STU6 c
45° 4►0F F- P -e -ND
45`B!d:,
Depth of Cleanout G Flow Line
Cleanout &9.9c> From --t_-MA/,ki WIJ6AJ MCA5uP_eo ALotiG t=� LATEFRA(_
Layed 0 2 %.AS'TE'R DROP
Mo Basement Service
Q'ST u M C. con
G'V FACE OFc-ue%
GIC
45° yu
MH#•Io29 MH# 103o
' f/4.,�� ....... I
To M.N. 1028
Amounts pe 'inin -t:o work completed this per , r e e and approved.
BY
UCSD In pector Contractors Rep.
/- ..w wn .N
ow'
P R �L F- INC-{ (1,7
X-rgA
oG . AMIk
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-S
-
Property Address: �; Longmeadow Road
MH 1029 j _._ _ L'&-r*�- ►kM N)N 95° nor, #r01-3CMZ
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: 3 ° VCM'/V
—
Owner
Owner
Attest:
as . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56