HomeMy WebLinkAboutLat_18542MaugansAvenuedASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWE RAG E/WATEKSYSTEM
PERMIT NO,
DATE
SUBDISTRICT
Permission is hereby given to:
For Property Located at: 9j .J�rL
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
( "i) Units
To Main Line:
Other
Industrial
Connection Fee Date Paid
To connect to a public seweragehAo4l(Ar 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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
i F
Final Inspection Made BY: Date
1:2 -
Plumbing Inspe r
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 Offi
WASHINGTON COUNTY SANT" SANITARY DISTRICT SANITARY SEAR ua; a,
WASHINGTON COUNTY, 140. CONSTRUCTION REORD
Projects Mouoonewill•/Orchard Hills Sanitary Sawraos Coil.ntioe lrot�
Street (or location): CAS x`7.3 c e J
Contractors Lisbon Contractora. Inc.
Fw- TO !NI
Oats Installed 10L, ve�_ Wye Sts, On Mala +Z�`� ► �
St d.0 -6(--F, 45•S
NOTES: I Drop
i L �• I V 4u b t; Cop
Depth of � C1 tom•/� -■7 •flow Line
Clsonout � !� Ow m o�
Lore • � �
�-5 Bseement Service
�r4 z)-.
M 5�o
A In n9 o work completed this
neper or
2 S$u b 4 C4,
psr:odq reviewed and approvede
( " 4�-t "Q J Lt-)'�
Contractors ep.
Aobk Ad*A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15- 3-3
Property Address: Route 6 Box 288 (Maugans Avenue)
SIH 565 to MH 580 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.
• 2
c�
8" SAN MH SD15-580 Qas
A
S )� R!w�
3 co
l� (R -
1
BA
( RT. 6 6
[(X6,
BOX 2 88
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.
r
Date:
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56