HomeMy WebLinkAboutLat_13830NorthcrestRoadJ1IASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33VV. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (3U1( 191-JUbJ1JUa4 DATE
P.O. BOX 571
SUBDISTRICT NO • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Ma ug a rl s %' .. Ie/Orchard Hills
Permission is hereby given to: D tl a' ' " K. Rup,' (V�,
For Property Located at: 2529 Northcrest t d.. Ha�erstown. Marland 21 4
Owned by: '''.i -ries R. Rupe Address: 0529 Nor, hcrest Rd., Hagerstown MD 217 11
Type of Connection: To Service Connection
X To Main Line:
Type of Service: Residential
Commercial
Meter Size
Connection Fee
1 ) Units
Other
Industrial
bEU.D0 _ Date Paid
To connect to a public seweragelvvater 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.
I.
tia Qr A�-_count 'No. 0-15-67.68-3
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
4ZPlumbing Inector
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 d
Field Office 1
Date
City Of
Hag. 1
,�i
WASHINGTON COUNTY SANITARY 'STRICT - SANITARY SEWER LATEi,.';_
WASHINGTON COUNTY, MO. CONSTRUCTION REC(►i%1.
Project: MauQonsville/Orchard Hills Sanitary Sewerage Collection System
13�3�
Street (or location):
Contractor:Lisbon Contractors, Inc.
MH 6;5'0 TO MH 6-j-5
Date Installed_ Wye Ste. On Main D ,44r-f�.'�
DEPTHUVE SIZE- TYPE TYPE EXCAV. LAYING
SIZE TYPE PIPE C.0. C.O. LATERAL LENGTH LENGTH
�ic6•.X�.. S z� � 6•'3oez� *Horns Total
P St'd.
NOTES:
V5 e n d
Depth of Cleanout 9.Flow Line
Cleanout o� - L' From -=LMaju
Layed 0 .�,=, % A,C i 45M DeOP
X4�sii&E Basement Service
,*Slope+ Norz=lotf
4.70t 3.3.0= -47 701-, F
Z'ZA16 f,C4p
IMH#z MH# ,
Amountsper ing to work completed this period, reviewed and approved.
By �.� g�, /F
WC
D Insp -tor rontractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
13�s3o
Property Address: 2-5-� Northcrest Drive
ISH 652 to ISH 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.
9
(2
,--E-- oil
-�
15-644 MH SD15-653
X
954
(2529)
C �0
Io
811SAN._ MH SD15-652
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: S"/ Z 7/9 3�%—
�— Owner
Owner ff
Attest: ff e "
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
O
wow
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
44 XIA7
F7 ^ gid. al-- Q g e7 /i
Address24,
r,.
Signed r
Property Owner /
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
C J
Date 2/ /'9`Z
95+
u5�--�
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
e-zz
Address �' Z yIA"w '�5'
Signed>�
Property caner
Date ) / ---- /0 �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,
Approved by W. C , S . D, Inspector 1 /VV_L=04-&—
Date I