HomeMy WebLinkAboutLat_18715NorthRidgeDrive'WASHINGTON COUNTY SANITARY DISTRICT
�41W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741.0571 (301) 791-3083/3084
0X 571
PERMIT NO. 486
DATE ? 12 5 t �
SUBDISTRICT No. 16 -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM 1. ,, P O rc h a r i l l s
Permission is hereby given to: �'--Ook 15
For Property Located at: 1U1 iio Lnridge Drive, Hagerstown, Maryland 2i,If
Owned by: David 0. Zook
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: i01 Northridge Dr. Hagerstown, MD 2174ii
Connection Fee
A
(i ) Units
$620.00
To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerageN;A&Ksystem (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.
Water Account No. Unavailable
Building Permit No.
r.�
Secretary-Tre ger ,r
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
I Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Insp9Kr
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordancewith 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
Field Offi
Date
City of Hag l
WASHINGTON COUNTY SANITAR' DISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATE,',,;_
CONSTRUCTION REC(Ji,
Project:_ Mau gansville Orchard Hills Sanitary Sewerage Collection System
Street (Or location) : 6Q T 902 ' 4— �J02T/4z/DC7E DRIVE-
Contractor:-
R/VE
Contractor: Lisbon Contractors. Inc.
Date Installed 274P2/L 6<4
w
MH �,,57 TO MH G58
Wye Ste. On Main zt3g5Rr.
YZr__
SIZE
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE----
LATERAL
-EXCAV.
LENGTH
LAYI
LENGTH
8'k(o"xg'
�"�D226RI�C.
6"soe2�PVc.
(o.lBY•F
*Horz.= Totah�,,
St' d.
d!. SUC.
39.25 L. F.
ope + Hormz=raral
Drop
NOTES:
Depth of Cleanout G./ -BVD. ®Flow Line
Cleanout 37 2 From4e Mara
Layed 0_wi--%
•,0o.5s/3LE Basomont Service
MH# &57
Amounts pert ing to work complete
BY
UCSD Insp ctor
•''2'�{ub£:Cop
MH# �s
2'Sfub
Cap
d this period, reviewed and approved.
'Q v - i I -V /c6
Contractors Rep.
i
"C ty,_
wIL
i
Depth of Cleanout G./ -BVD. ®Flow Line
Cleanout 37 2 From4e Mara
Layed 0_wi--%
•,0o.5s/3LE Basomont Service
MH# &57
Amounts pert ing to work complete
BY
UCSD Insp ctor
•''2'�{ub£:Cop
MH# �s
2'Sfub
Cap
d this period, reviewed and approved.
'Q v - i I -V /c6
Contractors Rep.
/n►
.MMIN
I - Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
121 1 S Contract No. SD15– 3–S
Property Address: -$44+ Northridge Drive
ISH 657 to ISH 658 _ DWG. #601-338
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
-
/ O
SAN. �
pn"�N� S015-658/—�
a"w
CD
000$
.00
t � �
� o
0 0
�x 902
10 1)
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: Jj /-f��
�.-
Owner
ner
At t e s t: 3 �jQ,rq s
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�, 57 - (0 S; -to
••►
WASHINGTON. COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 )1C�lT
FES 10 1984 T
WASHINGTON CCS.
SANITARY DIST.
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
RECEIVED
wasHlNcroIN couwTY
SANITARY CUIC1111SS)ION
IfvSPEC-FOR u TE
Addr
Sign
Date
X,
_
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
0
Gentlemen:
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
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:
- -- -.
Requested by Lisbon Contractors, Inc.
Approved by W. C . S. D. Inspector -,� . (3 -x -,z ur,o
Date Z,/ Z 3,1 (i '-/