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HomeMy WebLinkAboutLat_13811NorthvalleyDriveW, ASHINGTON COUNTY_ SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301) 791-3083/3084 -P.O. BOX 571 PERMIT NO DATE SUBDISTRICT �0 . ;.z) - PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Mau g an 3 h , . .w a rd H I 1 i S Permission is hereby given to: Kenneth H. Conway. For Property Located at: e 3u9 Northya 1 ley Drive, Hagerstown, Maryland 21740 Owned by: Kanneth H. Conway Address: 2509 Northval ley Dr Hagerstown, )MD 21740 Type of Connection: To Service Connection Type of Service: Residential ( ) Units Commercial Meter Size Connection Fee $620.00 To Main Line: Other Industrial Date Paid 3/ 13/ di 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. f Water Account No. 1 - 15-6854-8 Secretary-Treasuer Building Permit No. C� 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 e /_ Plumbing Insp>ttor 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: Permittee Plumbing Board Field Office t City of Hag. l WASHINGTON COUNTY SANITARY WASHINGTON COUNTY, MO. Project: Maugansvi Street (or location): STRICT SANITARY SEWER LATE,.,_ CONSTRUCTION (lEC(ii;f Contractor: Lisbon Contractors. Inc. MH K,J,�Y TO MH Date Installed fAp,;iiL 8¢ Wye Ste. On Main 246?.SLT WO WYL 314L— i TFL uLrin I rrL LALAV. LHYINU SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH 2(0 6"S0RZ4 *Hor7.= Total PVC. PV6. l4V.� Stud. 1 n___ 1 ?/ r. i r' 1 ope + mor2=1 ota 90.03L.F Depth of Cleanout 6.19VF®Flow Line ~� Cleanout 9&' r o m Ma /A,/ L a y e d 0 2 'DR0•P �D55iDC� Basement Service Z 5�ub f- Cap 2 "Gan NpF�TNV[aLC.EY .DF�IVE. ---� MH# �4� MH# r ­t7 Amounts per ,Ening t' -work completed this period, reviewed and approved. UCZ)D Inspector Contractors Rep. I- AM� 5Yr n/ Washington County Sanitary District ►► "��� C\� SEWER SERVICE LOCATION V Subdistrict No. SD#15 Contract No. SD15- 3-3 Property Address: '2'5$9 Northvalley Drive MH 645 to MH 647 DWG. #601-340 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. fl Q x x fl 927 k J Q � 0 ( 2509) ( 2 A) Q- - I /yi � `a oo \0 I O o o 001 I 50 /W - R/ W ,-� fl��fhflH SD15-647 -- 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 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. �/ D Date: �'% 27 , Owner — �HNr_-t h _ C'om wAy Owner Attest: Wash. Co. Sanitar istrict (Form WCSC-1) Replaces Form WCSC-56 ANOL WASHINGTON COUNTY SANITARY DISTRICT 711 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 7913083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: / e�/ti //✓f%� � �� �gyp►' A / ,_ .— T /`ted!/��� �i✓� 'fi�?"1 �/f' �i�K>!`S /(d°��''� N Address AAx2 1-1 Signed ,t• timet roper �y� eer Date to t{.gt y G'' /1� `// 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: _S4 fs��c� Ty W R i ER C i Svc .�Ly p Dep Requested by Lisbon Contractors, Inc. Approved by W. C . S . D. Inspector C Date (,?//6 /a V