HomeMy WebLinkAboutLat_13819NorthcrestRoad'NASHINGTON
COUNTY SANITARY DISTRICT
ae w. wA INING IUN STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: 2
For Property Located at: I `•���
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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 B
Field Offi
Date
WASHINGTON COUNTY SANITARY rTSTRICT SANITARY SEWER LATE,,
WASHINGTON COUNTY, MO. CONSTRUCTION REC(►i'�,
Project: Mauaansville/Orchard Hills Sanitary Sewerage Collection System
Street (Or location) : kloR
Contractor: Lisbon C ntr ctoInc.
MH &Q3 TO MH (,4¢
Date Installed 5AP2IL c34 Wye Sta. On Main I10663f.
""�
IZE
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TYPE PIPE
TFL
C 0
6"SD,eL&
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ULPIH
C.O.
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TYPE
LATERAL
St T d.
EXC-V.
LENGTH
LENGTH
*Hort.- Tota -1
*slope + orza o i
NOTES:
Drop
28.00c.�.
4.5Br9�o;2d.o�c .r
i
�M4i�.r
I
�"sfle z�
4S' z3end
2'54uL, i; Cc. p
Depth of Cleanout ®Flow Line
Cleanout Zd-o'From-i--mA)Aj
layed
• 4-�fs--te _.0 Basement Service
MH# 6d3
Amounts part 11 ng to work completed
BY
WCSD Ins ector
11rCP A:
1 .
MH# 44' -
�.o.
•, 2'S�ub �C•Gp
this period, revie d and approved,
ontractors Rep.
0
C Ur
Ankk
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##1
Contract No. SD15- 3-S
Property Address: 25r{ Urthcrest Road
MH f5d-3 tn MH 644 ni-m, Arne '�Q1
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.
I- �, 1 C_,�INV. 1647.3
-z-
12" P18 II Am I MH SD15-643
8 "SAN.
INV. 648.6
a � �
0
0 (25 (25
O
0 1
OL—J
F ,\ o
Oil0
960
(2516)
L_J
x°0
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: 7
OT.-rn o, -
Attest: (, j
Wash. Co. Sanitary Distr
(Form WCSC-1)
Replaces Form WCSC-56
rob,
ASHINGTON
ILW►
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
62dx* 96D
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ ,g,�-/ ( /11&
Signed (�r
r er y weer
Date
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. �%� 6Pj
Approved by W.C,S.D. Inspector iiia. L PGL4,-
Date I, --14 —