HomeMy WebLinkAboutLat_18403MaugansAvenuegam,-08�'-)
WASHINGTON COUNTY SANITARY DISTRICT
• 1 '. V„O:,HINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
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Permission is hereby given to: -
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For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:
( ) Units Other
Industrial
PERMIT NO
DATE
SUBDISTRICT
Date Paid
To connect to a public sewerage/water 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 -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
'��gIlk
Final Inspection Made BY: Date o
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offic
Date
WASHINGTON COUNTY SANITARY t
WASHINGTON COUNTY, M0.
TRICT 1ANITARY SEWER LATE":`-
,:ONSTRUCTION REConr
Project: Mauaansviile/
Orchard Hills%
Sanitary
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awaraG• 00116 C,
Street (or location) s
I
16AUMV e
LENGTH
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Contractors L.Lsbn
Data Installed 8�2�✓94
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MH 5%0 -T0 FW_.1oa°
Wye Sts. On Main,0100 Li_
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I'"S�R2io P.�.
TTPL
PVA
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1 Tri.
LATERAL
St d.
16AUMV e
LENGTH
2IROOI-`
•.•• • •••••
LENGTH
eHorz.• Total
3o.vo c.F
Mew ♦ ors•
Drop
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NOTES:
MAIy
I 1
----
z s.>3 ----
(,"SPVC.,
1'S�Ub'Cop
5,5 %
Depth of Cleanout �•flow Line
Cleanout s $ roel--t-MAIkJ
Layed •5
• �. Basoment Service
•_•...� . cam•
.TIN,
r
Amounts pertaining to work completed this period, reviewed and approved.
B YLl
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C_.
inspector Contractors Rep.
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Washington County Sanitary District
I�^ SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
Property Address: Ro ox 262 (Maugans Avenue) X03
MH 59 (�_ DWG 601-319
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.
D I �
� I
572B
(RT 6 BOX i
262-111 L
iI ,
-
1 I �
T
SAN. INV 673
MH SD15-AM
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
601111p`
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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i
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
/v L A- 7-,e ot 4- c,
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Date '-,-
'Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
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:
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, � .���■.� • • ■ ■� ■ � lL�r■ • ■ n��. �. ■� .mow. w
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<lei•
<Requested by Lisbon Contractors, In
Approved by W.C.S.D. Inspector
Date 6,1z 7 / 8 Y
11