HomeMy WebLinkAboutLat_18718NorthRidgeDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE July 2,7, 165
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT
11 �/ (}, Mauga,tsv f y is/Or,chard Hi i is
Permission is hereby given to: Joseph W. BUSS I� 1 L/
For Property Located at: 104 Northridge Drive. Hagerstown, lid..
Owned by:
Address:
Type of Connection: To Service Connection
Type of Service: Residential T
Commercial
To Main Line:
1. ) Units Other
Industrial
Meter Size Connection Fee 620.00 _ Date Paid 7-23--85
To connect to a public sewerage/wV (ter 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 PROPERTYOWNER.
151-6785-3 (_tecretary-TreasurP!_'1__1'
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 Inspec0010,
to
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
WASHINGTON COUNTY SANITARY IiSTRICT
WASHINGTON COUNTY, MO.
Project: Maucansvi
Street (or location):
SANITARY SEWER LATEO,'
CONSTRUCTION REC(Wi Ir!
Contractor:` Lisbon Contractors. Inc.
Baro, Q(,v a
MH TO MH 6d6 e265
Oats Installed2.Q,Qp21(_8.Q Wye Ste. On Main o4co
W1L
ME
JILL—
TYPE PIPE
ITF'L
C.O.
ULPIM
C.O.
ITPL
LATERAL
A10A1E
G'onr[. -Eo
6•.�oR.e&
P_Vr_
6''�O,e26
lo. 0-4V. F
PVL
St 1 d.
M. <l.
Drop
NOTES:
7"
`.
--4s ° Bender
i
Depth of Cleanout &.03 v xz-. ®Flow Line
Cleanout /Q.7 From-q_�;H.A4b4
Layed 0 3.75 %_40e drop
Basement Service
MH#
Amounts pert ining to work completed this
BY
UCSD Inspec or
/r--- 11CCf`—AN
__" V . &-n I I Vou
ENGTH LENGTH
*Hort.- Total
I—,,3iope+ norz=Iota
17.2 L.F 5.371/z = X8.37L.F
�1G
&" WIL
25iu6�,Cc c•v: •�
per.Lod, reviewed and approved.
Contractors Rep.
L4-,weju. im-m Ma G.* @ ze5°
Ank
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
I,�]/5 Contract No. SD15- 3-S
Property Address: 4.8 Northr; rig DrLy-e
DWG- #601 339
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.
64
R/W (�
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WH SD15 a:4 8" SAN
H SD15_ 64gz
3 INV. 633.9
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I (104)
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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
_Jose ll J
Owner
Attest: ,Z
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56