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HomeMy WebLinkAboutLat_13402MarshPikeWASHINGTON COUNTY SANT T ARY DISTRICT PERMIT NO. 33W..NASHINGTONSTREET HAGERSTOWN, MARYLAND 21741-0571 (301)791-3083/3084 DATE P.O. BOX 571 SUBDISTRICT N0* `I PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: Larry Cunn t.11gflam. f���� Tyi lis For Property Located at: .J39 Harsh Pilagers tuwl,, maryland Li Owned by: ) arry ""r: tl i1nh3 Address: �ZaQ MaJ sh Pike , Hagerstown,�l}J 2174) Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee ( ) Units $620.00 To Main Line: Other Industrial Date Paid 9 /19/34 To connect to a public sewerage/v*pr 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-Tre s rer Building Permit No. 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 Plumbing Inspe r 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 Bo Field Office Date WASHINGTON COUNTY SAN iRY DISTRICT WASHINGTON COUNTY, M0. SANITARY SEWER LATE, CONSTRUCTION RECORD CC)NFRACT 5045-3-5 Project: MnuG4!JSVILI-E—QRCHARD PI 62- 5AIJ17AK2Y SEWER PRCh1EGT +;54o'a- Street (or location) : <SAI loon Zig Mme;, AD/MaL--4rru 0un,_riiaham ____, Contractor: LISeON CO►JTRACTOR MH ! c7 ! i TO MH , o!z", Data Installed ei- z3 83 Wye Ste. On Main f,110 i -A ILIYE SIZ - TYPE DEPTH TYPE EXCAV. LAYING SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH g K6'Kg" 6"soRz� �'svRr� 9.92V•� *Horz.� T Dvc. �zvc . S t � d • �oti,c�zE-rte9 W Drop NOTES: �/ S,orsr,aAt,ic .3 23.1" N4,�► 4Cos I 17• 25 • t:c�F7 Depth of Cleanout q• 92 V. F:,:7 ®Flow Line Cleanout 50•eo' FromMAlN Layed d 7. Z-15 ... .Q £SRO 8esemu nt Service MH# 16,1 Mope + o Fes` ;;-r ( 4.5+qrl 23 =53.7 ,' MH# - #40 Amounts p aining to work completed this period review" and approved. BY UCSD Inspector Contractors Rep. COPY To ©w. 39&3A04 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 1IgDoL Contract No. SD15- 3-S Property Address: 2 -3 -3 -9 --Marsh Pike -MH 1n11 1-n SIH 1012 _ DWG. #601-364 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. W cn Q -I c>, I Z 1032 Q 3 (2339) (2 1) 1 0 I 9 - o I n (2 5) 0 w x �W II I I i II II li I� _ =J L =_ jQjF� 62 H ``- R/W 4"G - -- - - - - - - -- _ - - - - DMH S D15 —1011 S" (MAE SAN t; - - -- 2 W 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: 81,z/,Zp%z\//U (.U1�1/1��9 r Attest: r ,� Was . Sanitary i�t (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: Addressof Signed oper, y QwnOr Date LL Washington Washington County Sanitary 33 West Washington Street Hagerstown, Maryland 740 Gentlemen: We hereby of greater than above conditions location: District Re: gansville/Orchard Hills Sewers tract No. SD15-3-5 request permission to install the house lateral two (2) percent and/or in accordance with the at no change in contract price at the following Requested by Lisbon Contractors, I Approved by W.C,S.D, Inspector Date 1014"183