HomeMy WebLinkAboutLat_13222MarshPikeWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEi-I 7PKSYSTEM
Permission is hereby given to: V leu i y . �r . je,nneb.erg 3
rQaD
PERMIT NO.
DATE
WMB
Hills
For Property Located at: 2317 harsh Pike Hagerstown, Maryland 21140
Charles Henn eberge�'317 Marsh Pike, Jaaersto�rn, MD 2-174-0
Owned by: , ddress:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units
:l;2U.UU.
_ To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage/*ystem (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
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: o� L . Com-, Date b
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:
DISTRIBUTION: Permit
1 Plumbing Board 4
Field Office 1
Date
WASHINGTON COUNTY SANITAPiikDISTRICT
WASHINGTON COUNTY, MO.Aah"
SANITARY SEWER LATE!
AM `�`` CONSTRUCTION REClii'Nl";
SD15-3-S
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or (or location) : (�1 ,tt- &A E,5 / Rxr-
Contractor: Lisbon, Contractors Inc.
Date Installed 3 _1 �3
MH Old T 0 MH� ZC03 „ V
Wye Ste. On Main Ot 98 SCi'
WYE 5IlL- IYML ULNIn ITrT. a.na.nv. ••••••••••
SIZE TYPE PIPE L.O. C.O. LATERAL LENGTH LENGTH
C ? *Horz.= Total
8 1W „ 8, �o 11 /�. U. � S t � d . ��. 8(, � 33.80 r
SDrZ z(1 /P. (/.C, 6.91
NOTES:
E31, PVC.
T?F-L
Drop
Depth of Cleanout 6, 911®Flow Line
Cleanout . 80 ti�om (;E,M,4rvuNe
Layed ®_.. 9 .. %
X16 Basement Service
MH/t /00(,
pe + Horz7— wtia
3r4 k -'F
NOTE StoME Wa
&: c. 4 rice -- av
F:0t,'A,L>47-10N
'57-4. 07, 9e.SLS MH# ia�8
Amounts pertaining to work completed this period, reviewed and approved.
BY—
CSD Inspector Clontractors Rep.
1
!rte
cjsTERAI
A00 -
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-9
13aaa
Property Address: QZI� Marsh Pike
MH 1006 to MH 1007 DWG. #601-363
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.
I � �
I
n
I ILL==
I I 1040 I
(23 17) '
I I II � i1
--�--�-- - - - - - " R / W
-=--4% -�� - --- -------I
8 SAN.
to MH SD 15 -1007 8" SAN.
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:
Owner
K, ,.z eenheb e,wk--
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address__.2-3/7 �i3/% aKnl)i C l &T--
Signed'A,,-
Property Owner
Date ;Alva.
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date /33