HomeMy WebLinkAboutLat_13914NorthmeadowRoad'11Vi4SHINGTON COUNTY SANITARY DISTRICT
33 W.wASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: Fannie .H. ,Hors_
For Property Located at: 2521 Northmeadow Road
Owned by: Fannie H. Horst Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO
DATE
SUBDISTRICT
Hagerstown, Maryland 21 J40
2521 Northmeadow <oad, Hagerstown, t,L)
2 17 4
To Main Line:
Units Other _
Industrial
Connection Fee $62U.00
Date Paid 2/ 13/ ab
To connect to a public seweraget.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.
.tater Account No. j 15-6825 5
-
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
Plumb' g 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: Date
DISTRIBUTION: Permi
Plumbing Boa
Field _ Offi
WASHINGTON COUNTY SANITAR` ISTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWER LATE,,';_
CONSTRUCTION RECfii;('
Project: Maugansville10rchard Hills Sanitary Sewerage Collection System
Street (or location) : UAI ! J NoarHrtEP,.
i3�1
Contractor: Lisbon Contractors. Inc.
Date Installed l2 --A &RCH 1984
MH CvS(0 TO MH Cp�cd
Wye Sta. On Main 2.H' 10 L-
WIL JILL— iTh'L uLri n I TF'L LALPIV. LAYING
SIZE TYPE PIPE C 00 C.O. LATERAL LENGTH LENGTH
TC.E &11-Horz.= Tota
SDR V'C' _, St'd.
PVC -"><::::::: ---- ----
�510pe+ Horz=Tota
NOTES: Drop 39
. 414- 53/= 37.1
C.O.
u GAs
Z'+
? S - 27.
2 ST Ug
CAP
Depth of Cleanout 5-51 ®Flow Line
Cleanout 34. rom
Layed ® ?–__%
NO Basement Service
O
w�T�R Q.O
LINE
l�GrAS LINE
MH// F=.�"r
Amounts pertaining to work completed this
7
BY `4
UCSD I ector
I - • . M w A �
STA. Z.+ 16;L u
MH# C*4o6 TERM
period, reviewed and approved.
Lontroctors Rep.
Ld
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 0
MH 658 to MH 660 _ DWG J601-338
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.
MH SDI -6
�-45' R/W
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 oioner'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
Owner
Attest: �LL2iClZ -�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�I
1
2
G
I
MH SDI -6
�-45' R/W
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 oioner'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
Owner
Attest: �LL2iClZ -�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
W
WASHINGTON
COUNTY SAN IT
R - V
+:jid tOV��TY
SA ,i- AF Y C0IV' t��t
106
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
GA -r W 91-5
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address -AC '. � f %l ,f es -E
Signed
roper y Owner
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
Datet2Z4, /&-t) _