HomeMy WebLinkAboutLat_13228MarshPikeSHINGTON COUNTY SANITARY DISTRICT
W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-3083/3084
i Sia op
To Main Line:_
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
To connect to a public sewerage/Watier 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
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 __
Plumbin 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
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
WASHINGTON COUNTY SANITARWISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATERO: L
A*4 CONSTRUCTION RECOP
S01 5 -3—S
Project: MauQpnsville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : Gal �r /039 ADDTZF.-'5 AfAP,- ( PIAE
Contractor: _.__.__,Lisbon Contractors. Inc.
Date Installed /V0Z:-MPFE 4„, /9,3,3
MH 100(o TO MH /00,5
Wye Ste. On Main1 L�
WTL
SIZE
alLL—
TYPE PIPE
1 TFL
C.O.
ULVIn
C.O.
1 TF'L
LATERAL
LAt. AV.
LENGTH
LMTI1Vh
LENGTH
(o" PVC,
*Horz.= Total
51�p- Z!o
PL/. C.
�,7�'
St d.0.
3l0
16 pe +�rbta
Drop
NOTES:
S" 6,MrTW
uNc �
ZZAKE
Depth of Cleanout 5,76®Flow Line
Cleanout rom T 74/7cw&
Layed ® 7 5 %
- NQ Basement Service
MH// 1606
ST4, 161 L!.
MH# /Oog
Amounts pertaining to work completed this period, reviewed and approved.
8 Y
UCSD Inspector
(Form WCSC—p)
1 \l Contract rs Rep.
3
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
+ _ Contract No. SD15- 3-S
Property Address: F-3419- Marsh Pike
10,08
MH 1nnfi fn MH JDR7 nuf #�n1-36
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.
i
MH 50.15 —1007 8"SAN.
M
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: J111 -1f 3 Azg 1, � �vV �0 IV
Own r,
Owner
Attest:2L'a�a—�!
Wash. Co. Sanitar 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_ J k
Signed
Property Owner
Date I/-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-5
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.Toy _ �,iG�� d
Approved by W. C . S . D. Inspector
Date ljv/ -. . 1c7R,3