HomeMy WebLinkAboutLat_13918NorthmeadowRoadVKSH IGTON COUNTY SANITARY DISTRICT
,V W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: 11 1 1 am K. Hull, J r
For Property Located at: 2525 Northmeadow Road, Hagerstown Marviana Z1/4U
Owned by: odi 111am K. Hull, Jr. Address: 2525 Northmeadow Rd. Hagerstown, MD
217A
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
O Units Other
Industrial
- Date Paid
To connect to a public sewerage/wptff 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-Treasuret•
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
4kPlumb'
FinalInspection Made BY: Datepg 4Inspector
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
Field Office
Date
WASHINGTON COUNTY SANITARY DVOLRICT
WASHINGTON COUNTY, MO.
J INITARY SEWER LATCf-
NSTRUCTION RECK,f'
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection SYstem
Street (or location):
NcA2T,q All E,906c�J ROAD
13.1 A ,
Contractor: Lisbon Contractors. Inc.'��
MH TO MH�6 (Q__-__
Date Installed -�'--�� Wye Ste. On Main 3
1(
SIZE
ZE—
TYPE PIPE
TYPE ULPI M
C.O. C.O.
I Tr<
LATERAL
<^L.nv. •-, • �•••
LENGTH LENGTH
*Horz.= otal
Sto
51>2 3S
SP�2 Zb
ope + orZ= ota
Drop
�y 30 ' S- '
t S"7.3o =(02.70
NOTES:
.ao
I
4J
ao
Depth of Cleanout 15-0(a ®Flow Line
Cleanout 6o.0' rom,-4R1AA
Layed 0_ Ft 7Ca ap-0(P
No Basement Service
3t13 J -
MH# 6 S 8
a
MH# %(o G
Amounts pertaining to work completed this period, reviewed and approved.
BY (..
W C3D Inspector Ciontrac ora Rep.
/r„_— urcr_A)
40 .1% II OW
f 90 K- `rm bkU , uw hw-T*l
VoUl- wATWO
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: .tea-.Northmeadow Road
ISH 658 to ISH 660 DWG. x#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.
Ix � I;
I 914
0 (2 0(2525)
�+
C�p
fl
a(2` 9)
N.
MH D15-660 —
iL
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: 5 12 3 LIZ// L //4"1- A(LIZ_ G V,e
Owner
0 er
00".
Attest: 0 JAA AAJ
as . Co. Sanitqty District
(Form WCSC-1)
Replaces Form WCSC-56
,.•
WASHINGTON
�dm
1,4 �7� - 6("0
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:
Zl-
Address 1112, a
Signed c
Property Owner
Date / 1,3/ If z
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 21710
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 Z / /v / R'/
L/
l)CP%1%
S
.....
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector��
Date Z / /v / R'/