HomeMy WebLinkAboutLat_13234MarshPikeWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
T �
PERMIT TO CONNECT TO PUBLIC SEWERAGEEH SYSTEMSUBDISTRICT
1°i�iLigai1sVill-C%G3Y'tyllax'u
Permission is hereby given to: Pa rahiy u n L G; a {' � i � t i)'; r
Hills
Marsh Pike
For Property Located at: 2323 XllkhxXXXXO�
i
Owned by: Paramount ilapti St Address
Church
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
2323 Marsh Pike, hagerstowa. v1p ' 1/jo
) Units
To Main Line:
Other
Industrial
Meter Size _ Connection Fee _ ; ) r L Date Paid j j1-23 -34
To connect to a public sewerage/DOW 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.
Building Permit No.
r
Secretary -Treasurer oil
ti (�
yb
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
C? O 9 l
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: % ��� . CL A,4� ) Date ,' - 2 - Feq
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: Permittee
Plumbing Board 4
Field Off
Date
WASHINGTON COUNTY SANIT ,_' DISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATERA'I
CONSTRUCTION RECOD
CON Tf�AC T 5045-3-5k
Project: MnuGQu5vi L>:^-URCJARID PILL5 5Ak,!-rARy JEwER JDROjECT
Street ) �_ r �
(or location): F�4R4MOUtilr 8ao7,��-
_ 1"l4R�N Dl,�� o.4 r- ia3g Cf+uacN
r
Contractor: L156L)N CUtJTRACT0R�*
Date Installed—"_- G
WYC SIZE- TYPE DEPTH TYPE
SIZE TYPE PIPE C.O. C.U. LATERAL
f3" x cc �6 G "5OR 2c' G „502 Z6
NOTES: ;
2'STJa z CAP, . • -
M ioo6 TO MH
Wye Ste. On blain dt55.5 L�
EXCAV.
LENGTH
88L.i=
Drop
5t+ou�pEF{
I
i
r MARS H v� K�
-'4" CirS MAtAj 5.9
Ib.4�
MAI AI
I
_ 33 , Z.,
2"
0
35.2'
LAYING
LE NGTH
*Horz.= Total
35.2 L. F:
ape + Hor
Depth of Cleanout !l.66,;f ,QFlow Line
Cleanout 3.3.2' From Nt4lAi
Layed 0 2,
1JQtKhiOW&J Basomont Service
2 ' snn yC�►o
�iG4s -. .. CN�N6Av Et_J2C.TR/G EY TEl.EP1-IOM
HARSH -1 P! KE
MH# !ooe�>
H1H# I o09
Amounts per4fi ng to Work completed this period, reviewed d a proved.
By
WCSD Inspec or Contractors Rep.
(F �tr•m 4/CSC-4)
ow`
Washing --,n County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13a3q Contract No. SD15- 3-S
Property Address:
ma foo8 To M0 jcDo`f Q_L /038
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.
Date: i23 R
z-� Owner ,
Owner
Attest: ►`,
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56