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HomeMy WebLinkAboutLat_19321LongmeadowRoadt 622 WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. C 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301) 791-3083/3084 DATE 4l 26 �Ci5 P.O. BOX 571 SUBDISTRICT No • 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM MauganSville/©rchard Hills Permission is hereby given to: f�t?rT'1i 11 L. Ldy.D(1 For Property Located at: 12 West Longmeddow Road 1a�. l Owned by: ierrill E. Layton Address: 12 West Longmeadow Road, Hagerstown, FWD Type of Connection: To Service Connection n Type of Service: Residential Commercial Meter Size Units To Main Line: Other — Industrial Connection Fee $620.110 Date Paid 4/25��'b To connect to a public sewerage/v4o(tXr 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. pa,4_1� Secretary -Treasurer 3aA �) 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 PIumbi nspector 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 3 Field 1 Office City of Hag. 1 WASHINGTON COUNTY SANITA:. DISTRICT SANITARY SEWER LATERAL WASHINGTON COUNTY, MO. CONSTRUCTION D C(X.ITf�AGT 5D/5--33--55 Project: N,AQgUS�F URCHARQ PDLL 5Am17A�tY SewE„R PWAJE_T_— �IT a Street (or location): GC. QI �ao� �` w LZNHQQQ F�� Contractor: Li5w ow-rRACTOR MH/0V� TO MH Date Installed Wye Sta. On Main of81.5 F�Ti/ WY --TYPE- DEPTH TYP EX AU. LAYI0 512E TYPE PIPE C.0 C.O. LATERAL LENGTH LENGTH '*Hort.= Total Stud. 1 , NOTES: 47- M4 I,U Depth of Cleanout 5. sc,vF ®Flow Line Cleanout 1� ,�3' From -1-rA«� L a y a d -PBacamant Service M H # l'o3/ 1*510pe+ Mor;;�k i oT'l Drop 'n9 MH# /034 ' Src,a 4c4 r-" Amounts per f1lRa-to work completed this period, reviewed and approved. WCSD Inspector Contractors Rep. COPY Le1:7-r z.J 0,40mot s aac.c. coal 071 Property Address: ■ MP MM " S- 11-83 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SDTr15 _ Contract No. SD15- 3-S DWG. #6 01--3& 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. p y '� j� Date: Vt` Owne /yip 2R'►1 l , La.� - Owne OpIk Attest: Was Co. Sanitar istrict (Form WCSC-1) Replaces Form WCSC-56