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HomeMy WebLinkAboutLat_18727NorthRidgeDrive`SHINGTON 33 W. WASHINGTON STREET P.O.6OX 571 COUNTY SANITARY DISTRICT PERMIT NO. HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE SUBDISTRICT `I'-% • 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM 1 �7l a ug a n s v i i i e j o i' ail a rd Hi i is Permission is hereby given to: o LUd rt u i��!uer' For Property Located at: 113 Northridge O r i v e Owned by: Gut,rt ti eerier Address Type of Connection: To Service Connection Type of Service: Residential Commercial 11191MMKams. V To Main Line: Units Other Industrial Meter Size _ Connection Fee $620.00 Date Paid 1,110/C1 To connect to a public sewerage/wgttr,system (with proper abandonment of previous private system). The installation of the connection arrd 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. 0-15-6678-4 Secretary -Treasurer. !- Building Permit No. Vt 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 Inspe or 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 Bo Field Offi Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date `J'ASHINGTON COUNTY SANITAR ISTRICT UASHINGTON COUNTY, MD. Project: Maugansville/Orchard Hills Street (or location) : G.4I'� A'N SANITARY SEWER L,AITE CONSTRUCTION RECORD SD'15-1-5 117a R. Contractor: Callas Contractors, Inc. --- MH <0-S8 TO MH Date Installed 10--51-83 Wye Sta, On Main ©f63.9L.r. WYE SIZE SIZE-- TYPE PIPE TYPE C.O. DEPTH C. 0. TYPE LATERAL EXCAU. LENGTH LAYING LENGTH a"Za4 z6 G-:!FZWZ& 8.4V *Horz.- Toga g"g RVC- 'QVc.. St 3 d. 11OR 2(0 TEC Slope+ Harz -Total NOTES: ( e0ARD FENCC Drop i!o G • �'. (0.7 t 4. 6RCVND i -ANE Depth of Cleanout 8.4 ✓ F, Cd,�Floll Line���� Cleanout 1Z . Co ' Fromm "AIN Layed 2 AFTER OR04� Mor BE Basement Service Av%/LAr�cg- 4-2, .2'�-rur34C4p Gd. �D FENcE MH# 639 Amounts per nin to work completed this period, reviewed and approved. BY WCSU Ina actor Con ractors Rep. ' !:- r r, wr7-:1 ' - !. I REC6t vE:p sm olllbZd Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S 171 al Property Address: =ttB_NorthridqP. Drive ISH 638 to MH 639 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. d 0 � a 905 C� 0.0 PERMANENT SEWER EASEMENT SEE R / w - DWG -B B-620- 036— 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. f Date. 3 Owner �— Owner Attest: -r CAC- E Wash. Co. Sanitary District (Form WCSC-1) 7q C/- 1 y5-6- Replaces SSReplaces Form 14CSC-56 s► WASHINGTON 1i l COUNTY SANITARY DISTRICT f 11 33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083 ,905 - To: Lisbon Contractc , Tnc. I hereby request the contractor to install the lateral in accordance with the follow rig conditions: D FFP f+ 7- PR -Dl° r2 7-V L.- PJ E Address (1 3 Nof- T �4 'DP) VI; Signed Property owner Date 10- 0-73 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers 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: Requested by Lisbon Contractors, Inc. Approved by W.C.S.D, Inspector (2 Date i T t1 /3