HomeMy WebLinkAboutLat_18714NorthRidgeDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER 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
To Main Line:
Units Other
Industrial
Date Paid
SUBDISTRICT
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.
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
Plumbi nspector
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitte
Plumbing
Field_ _ Offi
Date
WASHINGTON COUNTY SANITARY ISTRICT SANITARY SEWER LATE�,.'l.
WASHINGTON COUNTY, MO. CONSTRUCTION REC(Ii,�
Project:_ MauQansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): GAI 9? -1 J-� N0RT'�►R+DGE DR Larr}_L,�r��ee,5a,
N1 H
Contractor: Lisbon Contractors, Inc.
I
I lFp'-DEEP
DEE
p O � O
I I
Y� ; 2'STur3 GAP
C:77
a� 2 �' - -�� 4,40 � 51.,
i
Mi
SON C.O.
�. 4"GrAS 0!, W'N ER CAP Qn Yr/aTR. --
Depth of Cleanout � SFlow Line
Cleanout (oo.ZS' From I
Layed 0 2 L
•
�-ID Basement Service
MH# l0S-7
411 G
i�"
va
Amounts pertaining to work completed this period, reviewed and approved.1
UCSD In4-Pector Contra ora Rep.
MH (pJi
TO MH (DSS
Date
Installed
I'S MARCH '04
Wye Sta.
On Main 309.S.to
UVE
-
TYPE
DEPTH
TYPE
EX AU.
LAYING
HZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
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\
PVC
t
Drop
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ape + orz= ota
4•+ 58.z5�
NOTES:
�JC' .2,5
I
I lFp'-DEEP
DEE
p O � O
I I
Y� ; 2'STur3 GAP
C:77
a� 2 �' - -�� 4,40 � 51.,
i
Mi
SON C.O.
�. 4"GrAS 0!, W'N ER CAP Qn Yr/aTR. --
Depth of Cleanout � SFlow Line
Cleanout (oo.ZS' From I
Layed 0 2 L
•
�-ID Basement Service
MH# l0S-7
411 G
i�"
va
Amounts pertaining to work completed this period, reviewed and approved.1
UCSD In4-Pector Contra ora Rep.
(°PY 20i6. 0o"")r-i�
e
L rCCA4. STAG ac.A<—C.O A -r
Washington County
Sanitary Dis tric
.•1 .vE-t,oc�►r=o, oa 1
�l - 30- 83
SEWER SERVICE LOCATION
PEO. o=aQ-c.-rra—)5 elc
'r"C .Jr --j .
Subdistrict No.
SD#15
Contract No.
SD15- 3-S
Property Address:
Northridge
Drive
-MH 698 T .rmi nql nl Ir -
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.
� U O
SAN.
8" W
D""} 1 0-D15-65
N
-r��k)
C L f5
Cr
921
G \ O
\\ O
doh
7
�S Posse �
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. f /
r
Attest:
(Form WC
Replace
Eii
Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
100 Northridge Drive
_MH 65R T .rmi ng]`_ nI If #6011 'i'i8
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.
O
If SAN.
8 " W --_—
d O <5 O'k-
e""N 6015-65
w
0 \
0
G- f
or
'0
no
0 0
tl0N
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: _
�- Owner
Owner -
Attest:
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
L
C
WASHINGTON
/ ® 33 West Wash
M tq (0S8
ANk
COUNTY SANITARY DISTRICT
ngton Street, Hagerstown, Maryland 21740 s (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address do
Signed
roper y owner
Date L ��
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
Re: Maugansville/Orchard Hills Sewers
d
Contract No. SD15-3-S
Gentlemen:
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:
Su 13_ -xcc. T -T-C) A/[) w A -j-E Q iNt I
Requested by Lisbon Contractors, Inc.
Approved by W. C . S . D. Inspector
Date ZA0/8 y