HomeMy WebLinkAboutLat_18546MaugansAvenue-WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
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
ls�-i4 SS
PERMIT NO.
DATE
SUBDISTRICT
bS
Pnrtn u2
To Main Line:_
Units Other
Industrial
Date Paid
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. 59 -
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
t Permit Fee
Final Inspection Made BY: _ Date
Plumbing Insp or
�FF -SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
N-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
al Inspection Made By: _ Date
RIBUTION: Permittee Plumbing Board
Field Office
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWCR LATCH',:
CONSTRUCTION RECniu,
Project: Mauasnsyille/Orchard Hills Sanitaryan Collection 3vste__m
Street (or location): r�4_r7�
i 85 Y(Q M s A1rf ,
Contractor:`_. Lisbon Cantractore. Inc.
MH 56,5 TO MH 56, C
Oats Installed /V/1 Wye Ste. On Main.
..x 6"A
NOTES:
6De2(- RYL
) \1(- I , 4 -
MAW
StId.
Drop
—
"SDG� Qvc_
�' 45• Sex( Z.
4-7'
WI S .
MI
2'Sk,6�P
*Hors.•
qt Z + �7.7- 1�- `1
•
Depth of Cllrsnoutflow Line
Cleanout
Layed 0 Z • 4FTEq DeOA
j Q Basement Service
MHO 15
G.O.• ••",
��46 •Cop.
Amounts ertAininq to work completed this period, reviewed and approved.
BY �� �-
nspec or �— ontr;Fto s ep.
No &kt f-ke'd0.
Ga
Ank
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: Rou 7 (Ma.u.gans Avaniia) 1 1�sq(4
ISH 565 to MH 580 nur, X01-313
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.
�—W
all SAN (�---,_--� M H
SDIS 580 4" �SA
T— —
I ;
R/w� I I -
�__ � {
634 -co
(RT.6 =� j
BOX a !
2 87) (RT, 6
o WA1 _ X 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.
i
Date: Il
% Own e/
Gcrrald OUerda rfE _.
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56