HomeMy WebLinkAboutLat_13508MarshPike'ASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT
Permission is hereby given to: JaM61 k' - S C0U I-, r, i. r V
For Property Located at: 2403 'Marsh Pike /'_508
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 2403 iulars�1 Fri kg ,s Loiyui4p
Connection Fee
) Units
To Main Line:_
Other
Industrial
Date Paid
To connect to a public sewerage/w.44gkr 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 RESPOW
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
Plumbingpector
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: Permitt
Fie
Plumbing Board
Off
Date
j V
WASHINGTON COUNTY SANITARY iSTRICT
WASHINGTON COUNTY, MO.
Project: MAUG4j15V1LE—.RC4AR0 P1LL5 54u17ARY SEWER
Street (or location): _�•�/��sh
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
CC-NTACT 5015-3-5
Contractor: L15G04 CU►JTRACT0Ej2
MH /0/0 TO MH
Date InstalledWye Sta. On Main 1430.?L--
WIL
IZE
JILL-
TYPE PIPE
ITPL
C.O.
ULPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
8Xbx8'
/o"SDR 2(cPYG
6''SpF32E,
/0. /QV.r–
*Horz.= Tot
P.✓.c.
St'd.
ope + or;= o ,
NOTES:
Drop
Q73�b4.69-b9.�2c.�'.
--
-- — — Showider
`
3.4 B.5'
•..g"w1L.
I
1 M4T�5N PI45E
2% I /7,
2 srUe
4CAp I ^
HAW �
i
Depth of Cleanout ice• >9 v. ®Flow Line
Cleanout &From4---MA/,v 2'�rus�cc�c�
Layed 41 o
YEs Basement Service
MH# 103 -
MH# 1014 -
Amounts pertaining ork completed this peri re ®we and approved.
BY
WCSO Ind-pedtor Contractora Rep.
CoPy -1-0 a.->saoc2 ^_
n- ss
— 001k �A ')k-
.0,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
01� Contract No. SD15- 3-S
Property Address: Marsh Pike
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.
1013
t
i
� S
i
C� r
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:
Owner
Owner
Attest:
Wa`s . Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56