HomeMy WebLinkAboutLat_18540MaugansAvenuew.ASHINGTON COUNTY SANITARY DISTRICT
,33 W. W4SHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/NEATER SYSTEM
Permission is hereby given to: Michael % Qu i
For Property Located at:
PERMIT NO.
DATE
SUBDISTRICT No. i
11
laugansv i i.e/Orchard ; i :
Owned by: Michael F Quinn Address: G C � ;,
rjrritl2d, n I E )
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
( ) Units
To Main Line:
Other
Industrial
Connection Fee _ Date Paid 1/e_�)/:bb
To connect to a public sewerage/WgtVr 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 Hccouiat No. U-15-8690-4
Secretary-Treasur t
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
2
Final Inspection Made BY: Date
Plumbing I pector
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:
DISTRIBUTION: Permittee Plumbing Board
Fie
Office__
Date
City of Haq. t
- - -- IATC
WASHINGTON COUNTY SANI 1 DISTRICT 3ANiTAl1Y SEWCI! CONSTRUCTION nELATL
WASHINGTON COUNTY, MO.
Projects ftMUney_ill /Or herd Mills Ssnitilty `awe•-^' rnllactICA !talc
Street (or loostion): C�AI.!55Z `
65'f L' Mcc"ge-0 s
Contractor$ Lisbon Contractors= i c, �...�
MH5L TO MN D
Date Installed le rc Y+ Wye Ste, On Moan t i �G (fit.
a..X6
Depth of C1l.nout 8a I ..
Cleanout 4row 77 M iz
layed •
Basement Service
Mf 58 1
Of low Lino
44.?, G.r
8�'7
D
7'Situ b Ca p
� S�Z
N
•••25fub 44f,4P
Amounts in to work completed this periods roviswsd end sMMOd•
8Y NT- -To
nspec or contractors Pope
0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
113SL( D
Property Address: Route -6 Box 289 (M uQans Avenue)
SIH 5gd_ i -o ISH 582 DWG #601-313
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.
DMHSD15-581 -, / / I
DMH SD
15 -5a
552
(RT. 6
BOX 269)
v WM
\ (23 0)
W
cr
0
LL
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. I
Date:
Owner
Owner
Attest: _�/ -S
Wash. Co. Sanitary i_strict
(Form WCSC-1)
Replaces Form WCSC-56