HomeMy WebLinkAboutLat_13922NorthmeadowRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: --- -
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential
Commercial
Meter Size Connection Fee
Units
Other
Industrial
Date Paid
PERMIT NO
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
Plumbi 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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Bo
Field Offi
Date
WASHINGTON COUNTY SANITARI ISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE',
CONSTRUCTION REC[d,C;
Project: Maugansvillo/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : 1V02%H MG'g0o+-'j X22'20-
(3Raa-
Contractor: Lisban Contractors Inc.
MH 66o TO MH —�
Date Installed _ /� `_� Wye Sta. On Main o+�
YE SIZE- TYNL ULFIN I Trt_ %_f%Wn V. _.._-
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTt_I__,
*Horz.= T tal
PV (Z- .
sloe z� -
*51ope+ Horz=iota
Drop5% Z.S's +3.gy + g9.ec
NOTES: = S6' 00
/'('cqS liN6
3 • ,3t�o.v QogD
Sun FaC� C L&q VoL&
H_ o
WgTEOL StQVicc C1106
13 a 04 0
Depth of Cleanout 9e ®Flow Line
Cleanout 53 0' rem ,v,W 6(00
Layed 0�lfTs.2 Di2cfp
No Basement Service
MH# C_ &
/e5.6
53.0,
MH# 6(o u
Amounts pertaining to work completed this period, reviewed and approved.
8Y
SD Inspector Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
( 3aX;�,
Property Address:9 NorthmeadoW Road
MH 660 Terminal 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.
i o
� G n o U
x o
0 (2 I) (25 )
OOCG �
01 915 +
(2529)
N.
MH SD15-660
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 stalled by the District at or near the property
line.
ate: "�`-� 7/ —•
/O/ Owner
Owner
Ae ees-tT
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56