HomeMy WebLinkAboutLat_18616MaugansAvenueASHINGTON COUNTY SANITARY DISTRICT PERMIT NO..719
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE /12/85
P.O. BOX 571
SUBDISTRICT No • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM iMaugansvi l le/Orchard Hills
Permission is hereby given to:
i,ue-i E. Martin
For Property Located at: Rt #6 box 284 Goo ftQnU.P_
Owned by: Ah -_t i:- mart}n Address: 1700 Salem Ave-, Eti-, Hagarstown, MD 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee $620,00 — Date Paid 7112165
To connect to a public sewerage/\XatXr 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.
Mater Account No, 1-15-8720-8
Secretary-Treasur
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
Final Inspection Made BY: Date
Plumbin Inspector
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 3
Field Office
Date
City of Hag. 1
WASHINGTON COUNTY SAN: RY DISTRICT
WASHINGTON COUNTY9 MO.
projects Maucanevi
Street (or location):
Contractor: - j,iStbo
Date Installed c'4I
SANITARY SEWER LATEP-t
CONSTRUCTION ndiwrl
Lx
Wye Sts. On Main C?fi
.
fi
rs. • Tc
o Stud. c.,� 30. 1.4. r,
NOTE 3 s Drop
M4i�1
I
�' SDR 2(n RUL.
i
2S4ubt C4 {
Depth of Cla_fnout ! � �-' 4w1ou Line
Cleanout From 7-
Layed •
Basement Service
1 •-•25fub ciC4p
Amounts pet 9 o work,^Fompleted this per.I reviewed and approved,
By
nspec or on rec ore map, ;
-k� Washington County Sanitary District
C SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address; gPw P % fi�U t U N Q%AgOm 5 80E,
ISH 612 to SIH 613 DWG. # 601-301
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.
7.5
2 � Hi —_---
!qv. 4
8 -SAN.
N� MH SD 15-612
MH SD 15-613
�p
HV'82 i
R/
555 4
(RT. 6 ' (I I )
X 28
X'
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: -7iso%g3 c hei E -MAP-7-;H _.
-� v►lJ�/��°`x Owner
Owner
Attest: _,�. - PQ.�S G`✓�,
Was Co. Sanita District
(Form WCSC-1)
Replaces Form WCSC-56