HomeMy WebLinkAboutLat_13418MarshPikeWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.a='_
3BOX571 WASHINGTON STREET HAGERSTOWN,MARYLAND 21741-0571 (301) 791-308313084
P.DATE November Ja, i { j,}i
PERMIT TO CONNECT TO PUBLIC SEWERAGW SYSTEM
Permission is hereby given to: ( M Bank
For Property Located at:
j9l Marsh Pike, Parainqunf.brancn,
Owned by: F& M Bank
I
SUBDISTRICT No.
Maugansville/Orehard
Hills
HageOstowli, . iail -
Address: 2391 Marsh Pik?, Hagerstiown, fND
Type of Connection: To Service Connection
Type of Service: Residential J\� ( ) Units
Commercia, X
Meter Size
To Main Line:
Other
Industrial
Connection Fee $620.00 Date Paid 140V(�nlber 21--;,
To connect to a public seweragehAIM 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.
J
I
'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 i
Final Inspection Made BY: ,/ ,
Date QTc
Plumbing Ins ctor
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 1 Plumbing Board 4
Field Office 1
Date
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATE -,-;-
WASHINGTON COUNTY, MO. -INSTRUCTION REC(ii;f-
Project: Maugansville Orchar_dHills Sanitary Sewerage Collection System
3y/
Street (or location) : (�;A T Joz7 0.
Contractor: Lisbon Contractors. Inc.
ova- 0 a
MH t TO MH �o3 � /033@g4
Date Installed zoH,nR.e4 Wye Ste. On Main D� BloFif.
WVL %JaLL— ITOIL ULVIM ITF'L LAL:AV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
AjON
7.�� V,F. *Horz.= Total
colo. St ' d. y
M.4.
b-35.33 L. �.
NOTES:
Drop I F 510pe + Hort=
—ter. �•. ... v�vc...v.,.vI ,1'0oV.r %Wf LUW I-jll!!
Cleanout 33.3 From it— MAI&I
Layed 0 3. Z5 %
,_ po5slec_E Basement Service
8" M1
2;�A� .:
Amounts p aining to work completed this period, reviewed and approve
E
By—
UCSD Ins ector Contractors Rep.
f r-.— u rQf'_n 1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1
,346 Contract No. SD15- 3-S
Property Address: -2-3� Marsh Pike (F & M Bank)
ISH 1033 Terminal LA-Q;-k4L_ SUM NW 0 2.4-6-0 DWG. #601-368
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:
PLI
COwner
Attest:
Z?l-3 � C�ir� �' S
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56