HomeMy WebLinkAboutLat_18545MaugansAvenueMASHINGTON COUNTY SANITARY DISTRICT
33 W-IVASHINdTON STREET HAG ERSTOWN.MARYLAND 21741-0571 (301) 791-3083/3084
P.O. 136X 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Parmicsinn is herahv nivan tn- Charles E. Weaver
PERMIT NO. 768
DATE //23/85
SUBDISTRICT No. 15
Maugarisdille/Orchard Hills
For Property Located at: 1203 Maugans Avenue V5��
Owned by: Charles E. Weaver Address: 1203 Maugans Avenue, Hagerstown, MU
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Units
To Main Line:
Other
Industrial
Meter Size Connection Fee $620.00 _._ Date Paid 1722/85
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.
Water Account No. 0-15-8740-4pa_�� -a
,
Secretary -Treasurer V
Building Permit No.
HCl
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 Ins for
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: Permitte
Plumbing Board 3
Date
Field Office City of Hag. 1
WASHINGTON COUNTY SANIT DISTRICT SANITARY SEWER LATC
WASHINGTON COUNTY, MO. CONSTRUCTION REC(iili-
Project: Mauoanevi
Street (or location) : -/� /8A✓&/4n/-S AVE_ GA -T _5(o Z
Contractor: Lisbon, Contractors, Inc.
MH -5;va& TO MH 59 -
Oats Installed 3 Wye Ste. On Main 0+16 b(_ -r7
NOTE 3:X___
JicL_ 1 ire uLrin I TVL LALAV. LATINO
TYPE PIPE COO* C 0 LATERAL LENGTH LENGTH
� SD ?_ 2 (, / •Hors.• Total
Stud.
Depth of Cleanout 1®- Z 'flow Line
Cleanout 2Z' fromr -VG
layed • Z.2!5 %
• yE5 Basement Service
MH#
ps ♦ Morz-T
MH#
Amounts artaininq to work completed this period,',, re w• `an approved.
BY
UCSD Inspector Contractors Rep.
opk
Property Address: 1/�-3 Maug
FS A .
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
ans Avenue
SIH 580 to SIH 584 DWG. #6n1-313
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.
m
Cr
-O
o N 6� 5' 562
x(1203)
I —
—8" SAN MH SD15 580
Z 3
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: 4�1 —1-09%— 1F'3
Owner
Attest: H
Was�Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
i�
PASHINGTON COUNTY SANITARY DISTRICT
��I" -,il
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
RECLI EV
KVASHINGTM Co! t4TY
SAM7ARY Coj&, fpN
"i �FcCTOR � �ri
��arE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
iJ
e u/?&
Address_�L2. lv/�.� . /q
Signed i,,,/
Property Owner
Date
"Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21I
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
• Gentlemen:
It
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
,3 •
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector � , Q1.
Date