HomeMy WebLinkAboutLat_19642MarigoldDriveWASH INGTON COUNTY SANITY "Y DISTRICT
WASHINGTON COUNTY, MD.
Project: aIlk Tt, T�.-oot' G-sT•�T�s Co//uT.:
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Street (or location}: 47airGoC� p"mac Cors 3p $3�
Contractor: j a, Y,�1JEa;i�f Cam i�`oT••f / i�l���� l 6 t�j 2
Date Installed --/- zit- q
WYE S IZE - TYPE DEPTH
TYPE PIPE C.O.
4s
CO.
6" Cr
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NOTES:
Depth of Cleanout at Flow Line
Cleanout /o From C- el v,,
Layed at z 5 /o
NO Basement Service
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
M H/i` TO MH 11'6 -S-
Wye
Wye Sta. On Main o o ;� G 7 -
TYPE EXCAVATION
LATERAL LENGTH
ST'D.
G14'
DROP
LAYING LENGTH
Horiz. = Total
Slope + Horiz. = Toto
MH#//6s-
Amounts pertaining to wo k completed this period, reviewed and approved.
BY Qw
WCS D INSPECTOR
CONTRACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
IUGUST 13, 1984
S-2
.�CIT °" 11
00 WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
r
41'RWilliamsport, MD 21795
r�rN��
(301) 791-3083 Vm--LLC �� K I
Permit to Connect to Public Water/Sewer System
Type of Permit
Subdistrict Name
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner:
of address:
For property located at: 1
Lot No.
Owner's Agent: _
Agent's Address:
Previous Owner:
F P'
ees ald In FUII .
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Subdiv.
Fee
Fee
Fee
Fee
Total Fee
Permit No.;Yp _.
Issue Date 2 c,
Void Date n r
Subdistrict No.
Phase
Lateral with Mainline?
Residential EDU's
Commercial EDU's
Gal/Day Allocation
Building Number
Misc. Number
—Street Address
Sec.
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Date: 1�4 42
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by:
Inspection Date:
Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Plumbing Inspector:
64
Wc,k- ( Sewer
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\OI;'"CHBI;OOIi ESTATES
LOT #31
19642 -MARIGOLD DRIVE
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