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HomeMy WebLinkAboutLat_13910NorthmeadowRoad`WASHINGTON COUNTY SANITARY DISTRICT ;�W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: W.J. l l i am G. S h a n k For Property Located at: ?617 NorthmeadoIa Rodd L-2110— Owned , 1© PERMIT NO. 423 DATE February 4. 1935 SUBDISTRICT Tdo� 1 iaugansville/Orehard Hills Owned by: Wi'1 i i am G Sihank. Address: 251 Z Noct Omeadow Rd HaaP,,s L.nwn, 'rvli7 Type of Connection: To Service Connection Type of Service: Residential Commercial ( ) Units To Main Line: Other Industrial Meter Size Connection Fee , n2t1 - U0 _ Date Paid To connect to a public sewerage/WlU r 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 -0-15-6820-5 Setary-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 ::5� Plumb Inspector 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: Permit Plumbing Board Field Offic Date WASHINGTON COUNTY SANITARY ISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATC,,.': CONSTRUCTION REC(1i,i! Project: Maugpnsville/Orchard Hills Sanitary Sewerage Collection System Street (or location) : &AZ C) I ? 127S+� M0RTP MEA -bow Rci. 13 1 i p Contractor: i Lisbon Contractors. Inc. t1 11Ja' n'.. MH 5 2� TO MH (P60 T EEJRM. Date Installed 14- PAiARC14 X34 Wye Sta. On Main 2tdZ.5 Lv WIL SIZE aILL— TYPE PIPE 1 TPIL C.O. ULh'Ill C.O. 1 TF'L LATERAL LALHV. LENGTH LH111Vh LENGTH Ti=E CD" *Horz.= Total g,x( X6 s�P St d. NOTES: Drop 31.44 I i— 9,Z, 2,l(7�� �0 211W 141 $ C.O. Z' STU 13 � CAP )e + Homs NOTE : 2" W is 13URI9-b 2 2" G LS t3URIEb I.5 Depth of Cleanout 6D.5 ®Flow Line Cleanout From M L Layed ® % NO Basement Service C.c�. WATER Ga.S P/XV re-pl G 14T MH# (05 g FLD1�1 STA. 2+02.5 L MH# (OGO TGiQ,M Amounts pertaining to Work completed BY WCSD Iikspector this period, reviewed ,and approved. f" 7tractore Rep. "'\ Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 1-311 c7 Contract No. SD15- 3-S Property Address: 2rrtT Nnrthmearlow--Rna.d MH 658 to MH 660 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. d o� 0 V o -ff �i000 G o U r - srk T912 x I a px (2 517) 0 (2fU CS G i ve G 8.. SAN — — — — -- _ MH SDI 5— 6 I 45' R/W 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 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. I , Date: T Owner Owner Attest: .\Co. 'Saiftitary District (Form WCSC-ice) Replaces Form WCSC-56 viii Ct�� WASHINGTON 33 West Wast COUNTY SANITARY DISTRICT ngton 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: I , /i AddressA-ISI 7 2 L L-,, YO'� Property Owner Date( 10-;), /,/ _ / �'JP'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: MIL Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector .W. C—,9&LL� Date 1 — 5/&,4