HomeMy WebLinkAboutLat_13905NorthmeadowRoadWASHINGTON COUNTY SANITARY DISTRICT
vv. vJASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at: 1 105
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. 1
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 Ins or
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: Permitte
Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITARY" iSTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWER LATC,'?,';_
CONSTRUCTION REC(li;(
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection Svstem
Street (or location) : &A1 9�� _ S-5� NOR HMEA OW ?d.
119 045-
Contractor:
SContractor:Lisbon Contractors. Inc. -J2CL J ant!
OUT OF
MH TO MH Cv58
Date Installed 14 "ARCH�Wye Ste. On Main a+ C>0
IB O
W T L
SIZE
JILL--
TYPE PIPE
1TYL
C.O.
ULPIh
C.O.
ITFL
LATERAL
LALAv.
LENGTH
LAYING
LENGTH
-TcE
(P"
-
St ' d.
*Horn.= Total
St>P 2(o
.52.1
PIv.c.
ppe + Horz=
NOTES: I
Drop
1
e
I i
Z,i W
j.►OTE : 21G 60PIE17 3D C 21,5 l UB J CAi-
Depth of Cleanout -7.5 Z' ®Flow Line
Cleanout From N1
Layed ®_ N
UKKNDVtN Basement Service
MH# (oS 7
MH#
(PSS
C.O.
Amounts pertaining to work completed this period, reviewed and approved.
B Y ^ `
UC -SD In"tor for Contra tors Rep. _._._
0
p r c �J i fO R C' c c�9 .
rl.osp- oA ORO R�
Washington County Sanitary District
SEWER SERVICE LOCATION
0
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 2. N d
SIH 658 _ DWG. #601-338
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.
Date: ,
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Owner -'