HomeMy WebLinkAboutLat_13823NorthcrestRoadVV-ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 6`25
N33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741.0571 1301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT No. i 5
PERM11TTOCONNECT TOPUBLIC SEWERAGEIWATERSYSTEM Haugansville%Orchard Hi 11s
Permission is hereby given to: Ua n b"I' Ii
For Property Located at: 2520 (nor-chc rest Boad 1�2_3
Owned by: Uana_ Sim ith Address: 2520 .I )r 'I,-.hcrest 1Roac: , iian.erS`�OWn
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size _
Connection Fee
To Main Line:
Units Other _
Industrial
J - _ Date Paid 4126; 65
To connect to a public sewerage/\Xat6r 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Watef account unknown.
p(� 6 . t
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 lnsp ctor
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 i Plumbing Board
Field Office
Date
WASHINGTON
COUNTY
SANITARY 'STRICT
- SANITARY SEWER LATC0-7;-
WASHINGTON
COUNTY,
MIO.
CONSTRUCTION REC(1i;1-
Project: MauQansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : (-S A T C) K101 '111 RAS 1 R� .
Contractor:Lisbon Contractors. Inc.
i
M H (o l E-• 3 TO MH Cv Gi•• � , �
Date Installed 2� ri��C�-t g�' Wye Ste. On Main
W T L
IZE
JLLL—
TYPE PIPE
i TVL
C.O.
uL?' n
C.O.
1 rrL.
LATERAL
cn�.nv.
LENGTH
Ln1 t1Yu
LENGTH
ZIGI
�y�
7.��
St1d.
*Slope + Horz= ota
Drop
t i.' + 1Co=
NOTES:
c. v,
,���
2-1. I
Tt�
I
CAP
IJ (3�Nt7 �V
I
L
Depth of Cleanout
-7.6�(' ®Flow Line
Cleanout From
Layed 0 % AFTC�J J),�vp
Basement Service
FLOW STA. 2+37.5
MH# � 3 IMH# (644
c.v.
Amounts pertaining to work completed this period, reviewed and approved.
By
UCSD Ins ctor Contrgctors Rep.
apprla4-A r
Property Address:
00 (43 ISH 644
r.c { Upsuc. WIATez
7g Washington County Sanitary District
i SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
i 38x.3
-2-�0 Northcrest Road
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.
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.zz
j
Date.
Owner
z -
Owner
Attest :4 v
`Was . Co. Sanita istrict
(Form WCSC-1)
Replaces Form WCSC-56