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HomeMy WebLinkAboutLat_13909NorthmeadowRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 585 33dV. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741.0571 (301) 791-3083/3084 DATE P.O. BOX 571 SUBDISTRICT N©. 15 — PERMIT TO CONNECT TO PUBLIC SEWERAGEIMCAT.ER SYSTEM PINUGANSVTLLE/0ROHM=LLS Permission is hereby given to: Ar, Ko.nneth W. Sit cox I �;(Ioq For Property Located at: 'STS Northmeadow koad, Hagerstown, Iii,arylan3 21140 Owned by: Ke'nne-ch W. Simcox Address: 2518 N'orthmeadow Road, Hage-rstown, l4D 21740 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size X To Main Line: 2 ) Units Other Industrial Connection Fee p020.00 — Date Paid April 9, 1985 To connect to a public sewerageliKft{ 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. .vi2��t' Nt3. 0-15-6&UIXy I 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 p 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permitt Plumbing Boa Date Field Office City of Hag. 1 WASHINGTON COUNTY SANITARI ISTRICT SANITARY SEWER LATE,,';_ WASHINGTON COUNTY, MO. CONSTRUCTION REC(ji;, Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System Street (or location) : C-7�I �9� NOr�TH MEA�01r�% Kc_n�e h-.J�irncoX . 13CIC9 Contractor: Lisbon Contractors. Inc. , MH CDSg TO MH (oV)TERM Date Installed I Z. 1''1l�RCN I�a�} Wye Ste. On Main 1 +05 R W T L J1LC— ir[- u�r�n 11r� -""r,V L.nI AJVU SIZE TYPE PIPE C009 C.O. LATERAL LENGTH LENGTH *Hort.= Total S1�R 2.C, lam. V,G. St' d. -� , i P.V,G . NOTES : f 4 1 5= 4% M L C.O. Drop STUB 4 c,Ap + horz= iota Depth of Cleanout .1®Flow Line '~~� Cleanout 2�.' from 1.;1 L a y e d 0 q- °� L -UNKNOWN Basement Service SMA. I+0 , R MH# (o5& Amounts pertaining to work completed BY WCSD In ctor FwV< MH# Co(V0--EpM this period, reviewed and approved. Contiactors Rep. AIWA Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 13�b� Contract No. SD15- 3-S Property Address: 254 Northmeadow Road MH 65R to MH 66n—_ nur.- _ #601-33R 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: PZf P,3 / Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON lim 33 West Was &S;6- GGO 0 COUNTY SANITARY DISTRICT gton Street, Hagerstown, Maryland 21740 (301) 791.3083 su,6 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: r c -co rA r a4 v",-4 i u P& Address 2 hyo ✓''� ec��vw �� a Signed_ - •-' --� • .,�c�-�=�'�C� Property Owner Date r 8 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 iL/