HomeMy WebLinkAboutLat_18731NorthRidgeDriveWASHINGTON COUNTY SANITARY DISTRICT
A W. WASHINUIUN SI HUT
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO. Z3'•
DATE 7116/95
SUBDISTRICT do. j Z -
PERMIT TOCONNECT TOPUBLIC SEW ERAGE/WiATEFISYSTEM Maugaitsvi l ie/Orchar6
Permission is hereby given to: Elmeda Lachkovic H i I I s
For Property Located at: 1 1 7 Northridge Drive 197131
Owned by: Elmeda Laehkovic Address: 117 Northridge Orive, Hagerstown, mu
Type of Connection: To Service Connection
Type of Service: Residential (1 ) Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection Fee $621.00
Date Paid
7/10/85
To connect to a public sewerage/WWgr 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.
Water Account No. 0-15-6680-6
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: Date l/
Plumbing Inspect
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 1 Plumbing Board 3
Date
1
Field { Office 1
City of Hag. 1.
WASHINGTON COUNTY SANITAR'�,JDISTRICT
WASHINGTON COUNTY, MO.
Project:
A*4k SANITARY SEWER LATERA
CONSTRUCTION RECORD
Street (or location): 67Z 't 90(0 ngelix VE-
Contractor:
EContractor: L 1-5150/\/ U!m®° r' .4 kouic. ,
MH &---99 TO MH 641 ✓
Date Installed //- OA4-8-0 Wye Ste. On Main 0f53.9LT.
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
5t�226
*Horz.= Tota
D&
PVG .
OVG .
S- S� v. F
St r d.
ope + nof7=7otal
Drop
2�. ZL•F, rl.9 f- /G.Z= Zd, /L.
i
I
MAI N
Q�3TUB�t'i4P
•
/4 8
Depth of Cleanout 5.86 V- F ®Flow Line
Cleanout /4.8 From M.41/./
Layed ® 2 % A 0e0"
-ES Basement Service
2'Sru��CAp
L, E,45E M SM7--
0.+48•
O +53.3
MH -#&39 MH# 6,4- /
Amounts pert ing to work completed this period.. evilewed an approved.
BY wa-v�
WCSD Ins ec or Contractors Rep.
(Corm WCSC-4)
)qp pRoX . 13 Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 1:rg- Nnrf.h i dge Drive.
_1'9H 63_9to ISH 641 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.
1 1
0
� 5
p p (I1
C3
L7 C7 0
PERMANENT SEWER
EASEMENT SEE I --
R/ w —DWG-BB-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 oi,mer'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: �c� %
caner
q616
Owner
Attest:
WasCo. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56