HomeMy WebLinkAboutLat_13826NorthcrestRoadWASHINGTON COUNTY SANITARY DISTRICT
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33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 (301) 791-308313 4
P.O. BOX 5711�t01J IQ
SUBDISTRICT •
Mau;ansvi11e%0rehi.rd Hi11S
PERMIT NO. 549,
DATE
PERMIT TO CONNECT TO PUBLIC SEW ERAGErAbOX :SYSTEM
Permission is hereby given LU�11+rt �
2525' Nor hrre Roan, Hagg svowl-', i�iaryi slid %1?
i, u
For Property Located at: 1�.
1._u-%it�r F. Grove Address: 2525 i4ori-iicres�t Road, Hagorsown, I� G1.71}
Owned by:
Type of Connection: To Service Connection A
Type of Service: Residential
Commercial
Meter Size Connection Fee
Units
: 620.00
To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage/ 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 Inspe
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 Z Plumbing Board
1
Fiel
Offi
Date
City of Hag. 1
WASHINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATC017;
CONSTRUCTION REC(►��'
Project:-Mauoansville/Orchard Hills Sa� nitary Sewerage Collection System
13�
Street (or location) : 6,4y 9 3 �
Contractor:.` Lisbon Contractors Inc.
our o,= M.N.
MH TO MH �,:g3 ""302550
Date Installed -/ ,4vR«84
Wye Ste. On Main Otoo �3�. ✓
WYE SIZE-- TYPE UEIJTM 1 TYG L^L-MV •
SIZE TYPE PIPE C 0 C.O. LATERAL LENGTH
LENGTFI
tiibn/E 6`�DRZ�I?VG. 6'�DRz6v�c,- oc>V. *Horz.s Total
ca rte. St' d.
Tr-
*Sl
A
ope+ Horz=Totl
Dropeq. 25-42.67Z.�
NOTES:
.Zo
34
�'SDR26 ��L
a% Li
.45 `8end5
Depth of Cleanout 5•®Flow
Cleanout 27.0- From-LMA/Ai
L a y a d ®� �. OA P/l ,- 0/op
IL10 Basement Service
Line _ ...�►
{
n �
MH#�� z e•, WA- .. MH#
i
2�r�uhe'C4P
Amounts pert ininq to work completed this period, reviewed and approved.
8Y
D Inspector Contractors Rep.
Property Address
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-S
1384
-nom Northcrest Road
SIH 653 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.
- A: r- �.
953
��,�o
(2525)' (2
r V
115-644 MH SD15-653\1' 8"SAN.
��
MH I SD15-652-
_ 1 i
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 ow-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: 25 JL2AI Owner
UI -(E Imo- a. iZd'U
Owner
Attest:
Was. Co. Sanit ry District
(Form WCSC-1)
Replaces Form WCSC-56