HomeMy WebLinkAboutLat_13815NorthcrestRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
33 W. WAVHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE
P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEW ERAGE/WATER SYSTEM ++ 2 M a u g a i 1 j v i /Orchard Hills
Permission is hereby given to:
For Property Located at: 2512 Northerest Rd., Hagerstown, Maryland 21740
Owned by: w i i ij dill S. Kell
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 2512 Nor hcrest Rd,Hagerstown; 'MD 21740
Connection Fee
X
Units
$620.00
To Main Line:
Other
Industrial
Date Paid
61'31/05
To connect to a public seweragelwtXtsr system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
water Account Wo. 015-67330.t
Z1,14 t
ecretary-Trea$u er
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 _ r
Final Inspection Made BY: G%r/ Date O �]
Plumbin nspector
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 Office
Date
WASHINGTON COUNTY SANITARY ""STRICT
WASHINGTON COUNTY, MO.
Project: Maugensvil
Street (or location):
SANITARY SEWER LATE,,';_
CONSTRUCTION REC(►i;1;
Contractor: Lisbon -Contractors. Inc.
Date Installed
MH &d3 TO MH
Wye Ste. On Main af42t?� `�
ZE J
SIZE -WYE
TYPE PIPE
C0#
H
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
8kbxg"
"SDefb<?VG.
7DeZ6W77
*Horz.a Total
St'd.
ope + orz-o
NOTES:
Drop
Depth of Cleanout 47V YF ®flow Line
Cleanout /9. -15' From
Layed ® 2
JJ;- Basement Service
MH# . - a
k OJF r4 4965-- ) i CAP
c. a
IF,, 64,�
Amounts per in9 to work completed this period, reviewed and approved.
BY �— --
WCSD Inspector Contractors Rep.
MH# 6a
� •. •scar—w 1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1`
Contract No. SD15- 3-S
13,915,
Property Address: 2.5� Northcrest Road
MH 643 to MH 64L DWG. #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.
O
0
e
e
0
A
I
1 INV. 647.3 '
12"x16" II MH SD15-643 g"SAN.`
CMP a __
I INV. 648.6 1
fl
0
2 961
(250 (2512 )
J
X-1
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.-ner'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: Owner —
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
/ 11
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
T 9(0 c
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address -1 CZZY-,2i
Signedk
eroperty Owner
Date //- /�` / ,_g 1�- `3
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. Inspector21
Date