HomeMy WebLinkAboutLat_18719NorthRidgeDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM (
Permission is hereby given to: v 1
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
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 SF 9cifications.
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.
:`VSPECTION: 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
4
Final Inspection Made BY: Date
Plumbing IVXector
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
WASHINGTON COUNTY SANITARYs.QISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE!
Auk CONSTRUCTION RECORD
SD15-3-S
Project: Mauo;3nsville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): C,4 190 ��X/oRryFsior�c DRivE� �r�e Eyek�c
Contractor: Lisbon Contractors. Inc.
MH G --,t6 TO MH 6f4 ✓
Date Installed fo- !4- a�5 Wye Sta. On Main 1-A90.7,cf
WYL JILL— I TP'C. UL -r -I II I Ire. a.na-"v. `. ...
51ZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
8„X G„ 6,1 LL r7 G4 r-.>vG. *Horz.= Tot
�5 O FR Zb Q V.0 . -Z.D
TEE (o ”
oVERHEADPUWEF{ LIOE .... "r3iope + Horz= i ota
wNrr��A nc�cE Drop �9L•F X2.1-►-4.89L.F
NOTES.
"fauww Mtaczr 1,<I Cy RI�UN D
La.Ne
MA) Q
-►I I 4.8'
12 ,A
Q'STUBFt C�
�9
Depth of Cleanout 8, 6 ®Flow Line
Cleanout 9.8'From qt- MAIN REwGE
Layed ® 2___% AFTER DROP
YAE5 Basement Service
8 �Dt� 2/o PVc. A'�II`I 44003
MH��b38=v{oc� TRU HIV MAJ�.TIt.� LAnIEc
W uITE Sa&Rr> Fewce
OVL 14eA0 POWER L I,4E
Amounts per ming ter -work comp staid this
BY �-
WCSO Inspec
(Fnrm LMSC-A)
MH# 654 = 2+09
C.U. CAP
'2'5TU8 G -CAP
per.Lod, reviewed anapproved.
/ 1�eS
ontractors Rep.
Zii
O► AN**
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
(-Kill
Property Address: -:= NlnrthridnP nrivP.
MH 638 to MH 654 DWG. #601-361
Place an 'X' in the sketch below to
owner wants the service connection
property. Place a wooden stake in
N.�--�----
indicate where the property
(lateral) to enter the
the ground at that location.
=
54
--- ��— `'_SAN.
. f
903 12
' cc;
(105) ,� SE'
1
t
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 ow-ner'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:��
Atte
. u ojg� - 'FS (I -P,4-p, -i-t - - —
Own'r
(Form WCSC-1)
Replaces Form WCSC-56
t
Owner