HomeMy WebLinkAboutLat_18502MaugansAvenue�kSHINGTON COUNTY SANITARY DISTRICT
133 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: I bwz
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
PERMIT NO
DATE
SUBDISTRICT
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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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: _— Date
DISTRIBUTION: Permit
Plumbing Boa
Field Offic
WASHINGTON COUNTY SANITARY D' RICT
WASHINGTON COUNTY, MO.
',NITARY SEWER LATE',,
.,ONSTRUCTION RECCH'�I`
Project: Mauoansville/Orchard Hills Sanitary SewereQe Collection System
Street (or location) : 6AZ
Contractor:_ Lisbon Contractors. Inc PDQ
Date Installed42 54
MH 6�3Z TO MH .3 3
Wye Sts. On Main
WTL 314L- 1 TML ULr111 1 1r1. L.F%%o "Y. ..n. alw
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
8'ic�x8'. �o,�zep✓c. �'��,e 7*Hor..zTotal
St ' d.
i
Ope t OPZa O a
Drop 'ZB. ZOL F. jgbgf �2.q}:3�.bgL.F,
NOTES: iii
2.6.. -�
�•-NIL
1." �D226 IVVP- ,
1
c
Depth of Cleanout 4.16 V.M. OFlow Line
Cleanout 23 Bio' Fromm_,M-amu
Layed 6 LU % Q�.kcr Drop
,�,j113y_Basement Service
MH# 5.3L
MH# !0�3 _�
Amounts partai to wor ompleted this period, reviewed and approved.
8Y
WCSD Inspector Cor rectors Rep.
N�to DG P1
Aak
c.uJ,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
0 .'� t Contract No. SD1 5- 3-3
Property Address:y1'T2 Maugans Avenue
MH 532 to ISH 533 _ DWG. x#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.
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: r 9
Wash- Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56