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HomeMy WebLinkAboutLat_13410MarshPikeWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301) 791-308313084 DATE P.O. BOX 571 SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: I 1 0 Yd + 1 u�/ F C a I ' �C� For Property Located at: 2.145 Marsh P i k(4 Haclo'rSt©kf11, Ad 2174",) Owned by: Address: ,3A6 Ia rs'A P i l:e HOtr�?!^S �ci�f41 °lcf Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee To Main Line: Units Other a> Industrial Date Paid To connect to a public seweragelwater: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. t, 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 Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: W i`,, _ Date 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: Date DISTRIBUTION: Permittee -" Plumbing Board Field Office - WASHINGTON COUNTY SANITARY ISTRICT SANITARY SEWER LATERAL WASHINGTON COUNTY, MO. CONSTRUCTION RECORD CONTRACT 5045-5-5 Project: MAUGgU5\JjL ,E--URCNARQ N11_^ 5A/J1?ARY SEWER F)Rc-x.1EGT i>glo Street (or location) : CAI ioz9 .�4� M �� /-:ixAzLA6e. Contractor: L159gN CO. JTRACTOR* Date Installed /Z -o5-83 MH TO MH /o Wye Sta. On Main z+z& �- WYE IZC SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EX AV. LENGTH LAYING LENGTH ""y,6 6"s1>ZZ&av6 CasrzeAv to. 20 v. *Horz.= Total" St'd. ops + NOTES: CAsT lRo,U CAA Drop I 3" s�eZ6N4JJVLI 16 -TME -E. Depth of Cleanout f , 20v� ®Flow Line Cleanout To, o" From _-*-4;11v Layed 0 Z A,,=-re,-©.eov C I. C/eonOuf Con Basement Service /7 MH# /011 2*'P6 L4-, MH# /Of ?-- Amounts Amounts pert8 ttg to Work completed this period, reviewed d approved. BY CSD Inspector Contractors Rep. 0 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S 13y10 Property Address: 4.1; MRrsh Pike MH 1011 to MH 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 0 ' 1 Z o ` Q 3 (2 ) 1 3iX23) 0 1029 I o ) I (2345) ' Q w x �fiJ1'S �tdRrV� I I I 11 11 '-' 1 �i2i V� WAS -- 3 I --------- ---� -----73 - T.B.M. 62 cobF.H. R W —4G —--- { (MA. DMH S D15 -1011 8" SAN _ 21. W - t 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: Owe— . �. JP7 Iner Owner Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT it ►► 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 Signed Property Owner A Date 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: ��it-� tau t��.�,�OLTUT" C91•� 1.u,�1r—E;�✓Z�c� �J �-/JAt�..p ��- Requested by Lisbon Contractors, Inc. i Approved by W.C.S.D. Inspector Date ��+f �