HomeMy WebLinkAboutLat_18739NorthRidgeDriveWASHINGTON COUNTY SANITARY DISTRICT
33 WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301)791-3083/3084
. W
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVATKA SYSTEM
Permission is hereby given to:
Mr,, Marvin R. Smith
PERMIT NO. _ 635
DATE --lay 7 t 1985
SUBDISTRICT No. 15
augaasvil e/ui,ciiard Hills
For Property Located at: 127 Northridge Drive, Hagerstown, Maryland 21740
Owned by:
Marvin R, Smith Address: 127 Northridge Drive, Hagerstown, MD 21740
Type of Connection: To Service Connection
Type of Service: Residential —_
Commercial
Meter Size
To Main Line:
1 ) Units Other
Industrial
Connection Fee ._ X620a 00 — Date Paid Me -V 7-, 1985_
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 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.
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
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:
Final Inspection Made By:
DISTRIBUTION: Permitte
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board 3
Date
Field Office ► City Of Hag . 1
WASHINGTON COUNTY SANITARWISTRICT
WASHINGTON COUNTY, MO.
Project: HGc,"//e .
Street (or location)
SANITARY SEWER LATERA
AOk CONSTRUCTION RECORD
Contractor:., L /5oo
Date Installed //— oz -83
MH (g381 TO MH 64-0 yam/
Wye Ste. On Main lffe.5 L?'
WYE
SIZE
FENC_
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EX AU.
LENGTH
LAYING
LENGTH
F-
5 Y
*Horz.= Total
SDQ35
kPVC,
P✓.G .
St d.
/�o. 5L. �'
/..�e L
/77
Drop
NOTES:
W N I7E B04f2D
C:
oeom0 LANE
rZZZY —
0/.
G � STl)F.� QGC.O
Depth of Cleanout -5 V-�f. ®Flow Line
Cleanout 2 From W.ui7Eso4Ajon AAc_=- AA/0 ons
Layed ® 2
ss,a�� Basement Service 21/ I c.o
ED, o p. L�►/J.0
MH#6,39
)+54 .�:S t, -r. MH#Gd O
Amounts p 'ainin -to work completed this period, reviewed nd approved.
8Y
UCSD Ins ector Contractors Rep.
'Form WCSC-4)
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
1
13� Contract No. SD15- 3-S
Property Address: Northridge Drive
MH 6'iq 1-n MH 6401 _ DWG. J601-361
Place an 'Y' 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.
'Mi. BB -620-062
•--� 8" SAN.
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: d"
Or
wner
Attest:
Wash. Co. Sanit y District
(Form WCSC-1)
Replaces Form WCSC-56