HomeMy WebLinkAboutLat_13807NorthcrestRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
` 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT
Permission is hereby given to:
For Property Located at: I ��
Owned by: Address:
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size Connection Fee 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 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 In ector
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:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITARY —STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,:
CONSTRUCTION FtECF►i%1
Project: MaugansvillelOrchard Hills Sanitary Sewerage Collection System
Street (or location): o _ a. T mia
Contractor:Lisbon Contractors. Inc.
Date Installed 5,1r_RiL P,�_
NOTE S:
l < 1.,-.
MH 64Z TO MH &43
Wye Ste. On Main 2f,Rt ✓
• _...._ • 1.n I airu
LATERAL LENGTH LENGTH
J_TH__o r z T o tal
St'd.
ope + orza o i
Drop 08.0 f8�j+�3.�3=3l.88L.F
roto, i 1...1
G GDR 2(o
X456 BencJ
Depth of Cleanout 5.r&v. ®Flow Line
Cleanout 24' From =7i
Layed ® Z % ,Q=TLR DROP
•Prt_C51iecF Basement Service
kIORTNCFiEST PCl.
MH# 642
MH# -"-
c.0.
2's4ub ^Cap
Amounts pertaining to work completed this period, reviewed and approved.
BY
UCSD Inspectdrr Contractore-Rep.
___1_r_ -
A•,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
J 3 ,?O -j Contract No. SD15- 3-3
Property Address: _ 468+ Northcrest Road
MH 642 to ISH 643 Mir, --#601-341
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.
a� (MAC)
INV. 642. n- _
T �—
i CIN
..
1e
00
0
0
f
8" SAN.
— GAS-
-I �•— R/W
� I I
(63
2 04)
X
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:
Of,qner
-JrkNe- kloM P
0 n e r
Attest
Wash. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
963
• (o4Z — 604?A
OpOlk
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ yj./yam.
,r
Signed _7/rte- , �e �OU & r
Property 'er
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
a
` Gentlemen:
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
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:
w ,...�-
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector—
Date