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HomeMy WebLinkAboutLat_18526MaugansAvenue.�HINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM 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 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: Permittee Plumbing Boa Field Office WASHINGTON COUNTY SAN, RY DISTRICT SANITARY SEWER LATEO'F WASHINGTON COUNTY, MO. CONSTRUCTION (iECnl2ri Project: Mouainsyille/Orchard Hills Sanitary gau@race Collection Sritee All Street (or location): _55 1 [y5aQ iD�laLl ctms Contractor: Lisbon Contractoga. Inc. MH+ TO M ' `7 Date Installed b o - 4 Wye Ste. On Plain z+ WYE 51ZE— TYPE DEPTH TYPE EXCAV* EATT TYPE PIPE CO TR NTNLENGJU 8"xb'Kg G'.0OR2(oLZ/G. 310M Total � St1 d. t�©L. r. 3(c.,� Lew 4- t6 Drop NOTES: i i i Z� 7SlubCap Depth of C Bob •Flow Line Cleanout row ma„u Layed • Basement Service z 4 C.. RL, � Mf -6'6 V no 5�j- -� � / f'•••L JI Li Sr�y Amount ini to work completed this psr;od/ reviewed and approved. 8 Y � �42 nspec orContractors ep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S RS2& Property Address: Route 6 Box 291 (Maugans Avenue _MH -5 to ISH r DLdG. 46 01 —3 13 .- <- - - .mss Place an 'X' in t e 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. SAN z a cn CMN SS S c LO R /w 551 RT. 6 BOX 29j""i s 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 er Attest: / Was Co. Sanitar District (Form WCSC-1) Replaces Form WCSC-56