HomeMy WebLinkAboutLat_18418MaugansAvenueV_#-ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. _
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
(301) 791-3083/3084 DATE
189,18
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM ' " 1G'uynSTDISTRICT
Permission is hereby given to:
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
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 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 _
Plumbi nspector
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing B
Field Offi
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Date
WASHINGTON COUNTY SANITk..Y DISTRICT
WASHINGTON COUNTY, MO.
Project: Mauaansvi
Street (or location):
H
c��0'fW,iu..4
SANITARY SEWER LATE--).-;
CONSTRUCTION REC w%r!
Contractor: Lisbon Contractors. Inc. i^^
MH S95 TO MH 597L--
Date
97VOat• Installed
Wye Ste. On Mein o }37
A, & -K B' V6' 6OE e& PYC, .
CA5rI 6,43 V.F,I StId.
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NOTES: ` Drop
MAW
X7.49 104--01.
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c.' SSR 7_G, Rv.C_
4S gem( Z '/o
Depth of Cleanout 1a,45' •Flow Line
Cleanout 111.+9' From -4 --Mme`
Laced • Z • o x 4FTE� DQp1�
K9 A Basement Service
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100,00=
L, Vo , to -7 'L -V,
S STA. 0+37 AT
6.43
P
' ~ L. I' MHS S97
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Amounts pertaining to work completed this period, -reviewed and approved*
By
WCSD Inspector Contractors Pop,
• N. ,..,,
Washington County Sanitary District
e"•mb� SEWER SERVICE LOCATION
Subdistrict No. SD##15
Iqq I�, Contract No. SD15- 3-S
Property Address: �`ZT Maugans Avenue.
3
a�.
_MH 5ca� to MH q'-)7- D .1r 41 .3
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.
.—Ob --* -4
—1— 15 P
S (PRO
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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. ,6
Vo
Date:
I 0 er
r
#001 -
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
er
J
OF L11G.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
N �r
Address
y-z-o
Q�Q Signed
x.30/- 322-/J-S roper y wner
Date �—
'`Washington County Sanitary District
33 West Washington Street
Hagerstown,•Maryland 21740
Re: Mauga lsvi"E: 'O char u
Conti ac :�T hlllt�. uv nc.a u
t c. SDI K-�-S
• Gentlemen:
fx�
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:
;,'Requested by Liabon Contractors nc..
:approved by W.C.S.D. Inspector d2�
Subject
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Attention/Account
Action Note This informal note makes
Possible immediate response ... and we hope you
will agree that in this instance promptness is more
important than formality. If reply is made, please
send to:
J, r
X417-&
2 %S Z- Fq
2A;t PTS{ b F 7rt cf 'e &4JEc 1,4 T , 2, ol"'*a 4 7-1 L 1,1,C,
JNo Reply Required
Wy
Signed
Date
Signed
14dressee's Copy
Form 16-65, ��