HomeMy WebLinkAboutLat_18523MaugansAvenueVASIIINGTON COUNTY SANITARY DISTRICT PERMIT NO.
WASHINGTON STREET
P.O. BOX 571
i
HAGERSTOWN, MARYLAND 21741-0571
PERMIT TO CONNECT TO PUBLIC SEWERAGE1W,4T,E)j SYSTEM
Permission is hereby given to: Norman A. Horst
For Property Located at: I b .
Owned by: Norman A. Horst
Type of Connection: To Service Connection
Type of Service: Residential A
Commercial
Meter Size
(301) 791-3083/3084 f
DATE
SUBDISTRICT N�?'
Mau gansviIIe/Ore-hard ;'ii I s
Address: Rt. #6, Box 173, Hagerstown, SAD. ?1740
I
1 ) Units
To Main Line:
Other
Industrial
Connection Fee $628.00 Date Paid 8/301/86
To connect to a public sewerage44ttir 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.
Water Account No. 0-15-8726-9
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
Plumbing In 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
WASHINGTON COUNTY SANIT, DISTRICT
WASHINGTON COUNTYt MO.
SANITARY SEWER LATE
CONSTRUCTION REChi,�
Project: Mauoansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): �. �� )�7� -A-T*_5Z-6 1�'a yahS
Contractor:Lisbon-Contractors, Inc.`
Date Installed /, SC -P7 t,_�'4
ekL3 K6 t�V G �,\IL
/6C-
NOTES: I�----- _. 13-C
ATER
9e StId.
Drop
6+
MH TO MH
Wye St„;. On Main ✓
*Horz.• Total
EC) . (--
pe Pe
zs
Depth of Cleanout : C) ®Flow Line
Cleanout'From k N1H,414ot- --
Layed 6
Basoment Service
Amounts. -pertain to work completed this perlode reviewed and_ owed.
BY CIO
WCSD Inspector contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
rY)out8a,,,S Contract No. SD15- 3-S
Property Address: Rou Box e)
ISH 593 to SIH 594 D W G _ #601-314
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.
'ERMANENT
SEMENT
BB -620-035
C3
CD
H SD 15 -- 59 4-
566 566 •
(RT. 6 BOX 273 )
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.
0
Date: z //-s Z P, Yc2_.
Owner
Owner
Attest : C` - � ,
Wash. 416
. Sanita y District
(Form WCSC-1)
Replaces Form WCSC-56