HomeMy WebLinkAboutLat_18710NorthRidgeDrive^SHINGTON COUNTY SANITARY DISTRICT
WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
J. BOX 571
/ PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM
?"
Permission is hereby given to: - tR
(301) 791-3083/3084
PERMIT NO.
DATE
SUBDISTRICT
Maugat1Sv?. I its/ J 'Clial dI _ i i 5
For Property Located at: o ;r U r t; i r i ci g e U . `y eI �?n ( O
Owned by: _ai^i !<. Duffey Address: ,y�:ti;)1�'1.i;_ie J"1Ve, age ia ubJi,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee _ 62 J. Ju, Date Paid -
To connect to a public sewerage/Wgt:Lr 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.
Water Ac'co rl,c -.3 , i,,
-65-01
5-01
Secretary-Treasur r
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
Plumbing Inspe t
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 Bo
Field Office
Date
WASHINGTON COUNTY SANITARY ISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATEO,'_
CONSTRUCTION REC(ii;
Project:
MaugansviIle/Orchard
Hills
Sanitary Sewerage Collection System
Date Installed
Street (or
location) :
GA I 11
—CT NC�f� I NRIt7C��
1�t�,
Contractor:
Lisbon
Contractors,
Inc (SI'J Earl
TEE�0
a X6
MH G 7
TO MH
Date Installed
I (o MARCH &,q
Wye Ste. On MainUYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE—
LATERAL
EX AV.
LENGTH
AY
LENGTH
TEE�0
a X6
t�UG
(p.2 0
st d.
2j.9
*Horz.= Total
,
PV -C-
Z S. C05
NOTES:
Drop
kz `
ML
Grua 4 Cap
+ Horz=
Depth of Cleanout 62,Z(P ®Flow Line
Cleanout 7-1.�c,5' —From I-- -------
Layed ® .�� � L"
„klo_8asement Service
SHRU3s
FLD W
15.S L MHGSe
Amounts pertaining to work completed this period review and approved.
8 Y i �l`i . G' G�
WCSD Inspector C cfrtt r tors Rep. �'
co Pe # f o OL,J
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
18110 Contract No. SD15- 3-S
Property Address: --Northridge Drive
MH 657 to MH 658 _ 601-338
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.
NOR TH RI DGE -DRIVE
0
Q
Q
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: 3J/? .,/x'33 �A1q L fyv F f E Y
Owner
wner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56