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HomeMy WebLinkAboutLat_18424MaugansAvenueIN ?TON COUNTY SANITARY DISTRICT PERMIT NO. INGTON STREET HAGERSTOWN,MARYLAND 21741-0571 (301) 791 ` 71 -308313084 DATE SUBDISTRICT RMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYST M� j a U, a I: S V 1. i .) ,, C l c C C! 1 Permission is hereby given to: Helen P R i S e k t�av - For Property Located at: Owned by: Helen P r i s e k Address: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Units Connection Fee $620.00 land Drive, Hagerttown, _ To Main Line: Other Industrial Date Paid 7/26/85 To connect to a public sewerage/WWgr 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. Pri Lt., I j - aaAA=-� - Secretary-Treas er 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 Plumbing In ector 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 1 Plumbing Board Fiel Off WASHINGTON COUNTY SANITARY D, 'RICT WASHINGTON COUNTY, M0. INITARY SEWER LATE'.' .INSTRUCTION REC(N�J' Project: MaUQsnsVille/Orchard Hills Sanitary Sewerage Collection System -T � -e-1h t_s- l ay Street (or location) :1�- Contractor:Lisbon Contractors I i MH 2 TO MH X33 Date Installed _=�i �3dL Wye Sta. On Main DEPTHUYE XLAYING TZE TYPE PIPE C 00 C.O. LATERAL LENGTH LENGTH 8 X(oK8 b X114 Z&)�-VC,. '�a2zjj *Horz.= Tota Puc . 4,Z9V.)C, Stud. NOTES: MAiu ""Slope+ HorZ=Tota: Drop 23 9, zZ.fibt3.o0= 2r/. ZC•t 456 13cna Depth of Cleanout •Flow Line Cleanout f8 63 F o4_-- InAlli L a y e d 4- -Jer Drop . • P.s,� ,6�._8asement Service MH# d cop Amounts per /ninq to work completed this BY �- WCSD Inspec MH# period, reviewed and approved. . I4/ e Contractors Rep. Property Address: Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S It�4a4 �k, , ov,rs MH 53? tn MH 533 _ DWG. #601-318 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. 77 MH SD15-532 611 SAN MH SD15-533 A2w 4,)�711"S w rr 574 \N Ic ) (2301) -D W N1EV 5 -4- e,u zo MH 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 flfi/5AK Owner Attest: - Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 4 5 3 z - 533 ASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 V'1A ' m'GTJ N C�JU?�iY F .sarti�h To: Lisbon Contractors, Inc./� v o C 1 L I hereby request the contra ot�-rrs a the lateral in nd accordance with the following coitions: • .., Address zi Signed f� Property Owner D& to r7 .� VashinRcon County Sanitary District 33 West Washington Street Hagerstuwn,.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: Requested by Lisbon Contractors, Inca. Approved by W.C.S.D. Inspector_;,!/. Date