HomeMy WebLinkAboutLat_19311LongmeadowRoad111/ASHINGTON COUNTY SANITARY DISTRICT PERMITNO.
i
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE 3/15 0 5
SUBDISTRICT No. 15 -
PERMITTOCONNECTTOPUBLICSEWERAGENNA,T,ERSYSTEM Maugansvi l le/Orchard fii i l3
Permission is hereby given to:
aui�kholder
For Property Located at: 13 West I_ongfneadow Road A✓'11
Owned by: Joseph Burkholder Address: 18 W. Longmeadow Road Hacierstown, MID'
Type of Connection: To Service Connection
Type of Service: Residential ( 1) Units
Commercial
To Main Line:
Other
Industrial
Meter Size Connection Fee $620.00 — Date Paid 3/15/65
To connect to a public sewerage/watvy,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-Treas rer
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
Plumbing In ector
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 Boa
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field I Office C1tY of Hag. _1
WASHINGTON COUNTY SANITA, DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
CONT 4CT 5013-3-5
Project: MAUGgUgvl��.E;RCHARD W1�LL2J�A�1.1�-r4R� Sewesi paUJE�T
/4 31/
Street (or location) : CA7 "'_ic-o7 W Lpo. a o.%,rlzyz a %c daf
Contractor: Li5eoN COWTRACTOR*
MH ivze TO MH /v,=?
Date Installed-cWye Ste. On Main 2-3;2 '::3T
WY
IZE
-
TYPE PIPE
YPE
C 0
OEPTH
C.O.
TYPE
LATERAL
E X-C AU.
LENGTH
AYIN
LENGTH
5.07vF
*Horz.- Total
St'd.
NOTES:
Drop
C -r rcvt l
Depth of Clesnout�:o�_®F1ow Line "
Cleanout iQ. s From -it-X-14iN
Layed 0 l
8aaoment Service
MH# lo26
Amounts per ag t Work completad this
8Y
WCSO Inspector
MH# eoz9
M'T L 1"6-
period
NE
period -reviewed and approved.
g;� c - - - .
C
o tractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Cj-31j Contract No. SD15- 3-S
Property Address: _ ff:Longmeadow Road.
MH 1026 to MB -11129 ni.ir, #601-367 -j
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.
8" SAN.��—""
OIL P CHIP ACCESS ROAD
FOR DETAILS SEE DWG. -
DD -601-395 -
x x
TEMPORARY
TION
SEE DWG.
52
-iON1N
1" VVATER a) 1 If
METER-
OTHERS II
1007 I
(18) = II
. I
30' WIDE PERMANENT
ACCESS EASEMENT
SEE DWG .
BB -620-054
DM ri SD15-1(
is"x1
IN V. 5'
Z
Q �
co
CD3
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: 5 - IG - 83
lJ/" lJ
Owner
Owner
Attest: d6i 6
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56