HomeMy WebLinkAboutLat_19317LongmeadowRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571
PERMIT NO. 380
DATE
SUBDISTRICT NO
PERMIT TO CONNECT TO PUBLIC SEWERAGEIB SYSTEM 7.6i Orchard
Hills
Permission is hereby given to: William E UQ 1 f (1-
For Property Located at: 20B WeS t Longmeal
Owned by: Address
e
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
) Units Other
Industrial
Connection Fee $520.00 . Date Paid 12-6->34
To connect to a public seweragO=r 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 OQ
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:Z Date
Plu ing 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:
DISTRIBUTION: Permittee Plumbing Board 4
Field Office 1
Date
WASHINGTON COUNTY SANITAi DISTRICT SANITARY SEWER LATERAL
WASHINGTON COUNTY, M0, CONSTRUCTION RECORD
CC>,JTRACT 5045-3-5
Project:A w 4U5141 g RCHARQ P1LLS 5AiIITAR1e 5ewe PPRW T .
19�i7
Street (or location) :�
u � : �;`- `J� LoRomecrdoW Rd. ►1 i GAIT --
Contractor: L v5W 0W-rRACTUR
MH io�_TO MH > "�
rwr•w
Date Installed Wye Sta. On Main
�
% - 5OR ZG P.V.G.
Depth of Cleanout . iZVo= ®Flow Line
Cleanout 73.5 `From —#_:PAIAJ
a.
Layed 0 2'.5 ..�
Basoment Service
LENGTH
*Harz.= Total
MOTE'. L.ATEFInI_SHT_
IUCD -S IGME-0I PROPER' y
OWNS RIOT I-+OHE DUWJUG
1ti5TA'LL.A7I OW
MH to MH# /029
rave! Drive2, Z 2,
xb
Amounts ps ini.g work complotad this pario�, reviewed and approved.
BY
WCSO Inspector ontractors Rep.
cw:
C. ki
Washing,. a County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-S
/0/3/7
Property Address:
gym_ H io2,
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 dt or near the property
line.
Date:
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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Owner
Owner