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HomeMy WebLinkAboutLat_13827NorthcrestRoadWASHINGTON 33 W. WASHINGTON STREET P.O. BOX 571 - COUNTY SANITARY DISTRICT HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT NO. 524 DATE 3/7/$5 SUBDISTRICT 1`a0. 15 - PERMIT TO CONNECT TO PUBLIC SEW ERAGE/WAVER SYSTEM M a u g a n s v 1 I I e/ 0 rc h a rd H i I I s Permission is hereby given to: Sarah F. Jones t /� For Property Located at: 2624 Northcrest Dr., Hagerstown, Maryland 21740 Owned by: Sarah F. Jones Address: 2524 Northcrest Dr,, Hagerstown, MD 21740 Type of Connection: To Service Connection ,. Type of Service: Residential Commercial Meter Size 1 ) Units To Main Line: Other _ Industrial Connection Fee $620.00 Date Paid To connect to a public seweragelyAtAfk system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water Account No. 15-6740-3 Building Permit No. i Secretary -Treasurer V, c� INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Date '1 / Plumbing spector OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permittee + Plumbing Board 3 Field Office Date City of Hag. 1 WASHINGTON COUNTY SANITARY DW-JRICT WASHINGTON COUNTY, MO. ,.iSA_NITARY SEWER LATE,,' i. ''INSTRUCTION RE (iii Project: Mauoansville/Orchard Hills Sanitary Sewerage Collection Svstem Street (or location) : Gal 95$ -Z-5-L-4N0R-i F- C.4R C=ST RD. _ Contractor:________• Lisbon Contractors. Inc. i3SA-7 MH TO MH (044 @ 2-30 Date Installed ?_Z MARCH r�34 Wye Ste. On Main OtOO R SIZE TYPE PIPE C.O. TEc (911 .5 -DR Z& SVG NOTES: GSW S��zvtc�� PARE, 2r DEEP AT SW ALG_ C.o. 2` STU6 CAP rte• •. • • • �,. '"a "V . LIQ 1 11VU C.O. LATERAL LENGTH LENGThI Tot —Siope + morz=rota Drop 10.z! + 23.5' 33 7 ►� 4 -0G 4w 1 1 SFRVIc's � I 3. r r io,2' Depth of Clean'out 4.-7%' ®Flow Line Cleanout Z(o.—From M L Layed ® 2.070 % �)NKNDWN Basement Service 0 .2� F MH// G AS whtEa I.,,, SERV rca LtN�S i MH# r (TF -RM) Amounts pertaining to work completed this period, revi ed and approved. 8 YTCZ ZL-e�� W SD Inspector Cont,ractors Rep. ( C* --m 1.1rcr-A ) lu �5 ,1b R OLK w�b� 6-tS-n-a'1 Washington County Sanitary District SEWER SERVICE LOCATION LAT��2At- i uT.n M.t-I 6Q-4 � 2.3oa 9 f/Zg/g3 Subdistrict No. SD##15 Contract No. SD15- 3-S !3 $ �-1 Property Address: -2-S-E4 Nor .hnrast Road 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. R/W + I ( 4 I ,MH SD15-644 MH SD15-653 FM I I a X 'I l LX2 O � L. J 0 X— I o a 958 ' 2524) 8"SAN. _ MH ,, IL- P -0 F a o4 i 01I (2 ) o �p0 X OD000� 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. 2*3 8� Date: � % � • �cn2n„� T7 0 er S/ 'AH 1= JONF_S Owner Attest: 4wv", 4-vcc Wash. Co. SanitJYy District (Form WCSC-1) Replaces Form WCSC-56 Ank tWL ASHINGTON _ � Mfq !nyly COUNTY SANITARY DISTRICT 33 WestWashington Street, Hagerstown, Maryland 21740 ■ (301) 7913083 .. l ! To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: OD C)EC2 4 ( ?R- E Addre s s_ ,,1 ,5- Z Signed roper 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. Approved by W.C.S.D. Inspector Date Z / / O 71,Yy SU(l )re r Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector Date Z / / O 71,Yy C/-?/.' 31f a. �o �c 114�iyi s f /,a7 /S .' Shy ryi�c �h t s lzA 1 WASHINGTON COUNTY SANITARY DISTRICT III 33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Address_��l L( Signed L4r:yer Date I! /J fj9 /-�-AV �3- a'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, Inspector Date I