HomeMy WebLinkAboutLat_18723NorthRidgeDrive-WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEW ERAG E/W<ATER•SYSTEM
Permission is hereby given to: i_ i 1 1 i a n A KE n 1.S 0 i( I� 23
For Property Located at: 109 Northridge Drive, Hagerstown, Maryland 2i74U
Owned by: +firs Li i 1 1,411 t1_ Keni,AtAess: 109 Nprt-hri dqP Drive, HagerSl-.h%rr--9T-'7i 740.
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
$62U.uj
Date Paid ,arch 13, i9oo
To connect to a public sewerage/496 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.
f
`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: ��e� - Date
Plumbing Ins' ctor
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 Board
Field Off
Date
ASHINGTON COUNTY SANITARV,-nISTRICT
WASHINGTON COUNTY, MO.
Project:
Street (or location): 10g7(7`oFtrNFt/aci�R. C��iS
.... SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Z'O!5-3 -%S
Iran
Contractor: L /::5C3on/ �o�ti�R4c-rva�
MH 638 TO MH 65¢
Date Installec: /I- o i- 83 Wye Ste. On main of2B.5RT.
WYE SIZE- TYPE DEPTH TYPE EXCAU. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
�vazb �..� �z� �G r7.-/Y.�' Tot
5t'd. �' *Horz.=
TCG /
NOTES:
''iblope+ Horz= I otal
Drop /7 L-.� H+6.5 = /7.SL.-�=
Imo! h r fe E'icr. J Fencc
Depth of Cleanout 7;1 VG . ®Flow Line
Cleanout 2 ' From F' Aer> A7ENGE 6vi4x- 4 /5 z 1,nou7-rf o.-
Layed Q ::g:__% 4F7-,�F)=k 0,eO
P Ay Basement Service
LA ` -
MHft&-:2,6 H1H# 65�
Z ' s-ucs4: Carte -
Amounts pertming to ork completed this period, reviewed and approved.
�_ �C2✓
BY
WCSD Inspac or e'er Contractors Rep.
'erre WCSC-4 )
C U
124 Washington County Sanitary District
v
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: Northridge Drive
MH 638 to MH 654 DWG. #601-361
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.
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.
q
Date: D"� �0 _'� 3 L /
^ I0 i G YI v 1 S n h ,.
Owner
Owner
Attest: A. ;46
Was . Co. Sanitary/District
(Form WCSC-1)
Replaces Form WCSC-56