HomeMy WebLinkAboutLat_13802MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEW ERAGEIVASYSTEM
t _•
Permission is hereby given to: ;;ober-% E. Holsinger.
PERMIT NO.aw`
(301) 791-3083/3084 DATE
SUBDISTRICT No_ 15
M,-AuFanzv 11*/Grc rd
AT
11
For Property Located at: 1 1 North Main Street t%Q2
Owned by: Robert E. Holsinger Address: 16 S North Street P.O.3ox ?15,�s-
v ; l 1 e 9D 21767
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential
Commercial
Meter Size
Connection Fee
) Units Other
Industrial
Date Paid 2/4/3b
To connect to a public sewerage/ 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No.
Secretary -Treasurer
al 01V
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 In ector
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 1 Plumbing Board 4
Field Office 1
Date
VU11LICLf�Erw�t ,o Or �S�wage
U60441 No n
� AM9 A 0. G Eft O r 170!680►
.O•• Rome Tr 6NOW104 1,X6fm1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
11 i�l ►�►iw �t Contract No. SD15-1 S
�����
Property Address: -wol - ! QL�9c1 osyi UZ R0 act
MH 319 to MH 362 Dwg. #601-031
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(
0
,I
E
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: I� �► Z
MIC 1A/, !l P7 ie Com)
Own (Print)
Owner s igna ure
Attest:
41 � - �A
ash. Co. Sani V
ry District
(Form WCSC-1)
Replaces Form WCSC-56
"�.,;H IJGTON COU.:iY S'�Plii(�RY S frZ iL i
UJ ASHINGTON COUNTY, MD.
Project: Mpunnnsville/Orchrrd Hi1ls
� 4""6
Street (or location): 6A,& �J
S015-1-5
66..1_ ZD5
StNITG-RY SC:,'CR LATE
CONSTRUCTION RECHD—
Contractor: Call , -s Contrn.r:tcrs, Inc_.____
Pi H 33 �T 0 M H _3 4;� ✓
%JAJ8y
Date Instailed.y LJyt Sta. On �,ain 0+545--
LIYC 5i1C- J TYPE DCRTH TyPf- j EXCAV. LAYii?
SI ZE -- TYp"c_PIPEj C.O° — C.0. LATFRA 1 LENGTH. i_C.N, li --
1 - - �- *Hcrz.= Total.
PVL PV C. -7.66 VO S t ' d .
Slope -r Hort= i o;.al
Drop 35.5° 8.82-+-7-5.qO= 34. Z
�r'OT�S:
C) Sz" wee , y cove T &o
r%
L
Depth of Cleanout "T vF VFI Line
Cleanout 31 from 4
L a y e d C Ce APTftfL C>CV P
wwlwgtjO Basement Service
MH, L;' 3 JOS c�+Sy. S
VJ
L
i' H 34 Z
Amounts pertaining to work completed triis peri d, reviewed and approved.
B Y _
('CSu in3pe for Contractors Rep.
v
'^ -- ,, - - r �