HomeMy WebLinkAboutLat_13818NorthvalleyDrive./WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
.33W WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE
SUBDISTRICT No. i
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATERSYSTEM Maugansvi l le/Orchard Ji ! is
Permission is hereby given to: Claire Simmons
For Property Located at: 2510 Northvalley Orive, i-iagerstown, Maryland 21740
Owned by: Claire Simmons Address: 425 Antietam Drive, Hagerstown, "vio L,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
(i ) Units
Connection Fee $620.00
To Main Line:
Other
Industrial
._ Date Paid
To connect to a public seweragelwatRr 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 No. Unavailable I«! 5 �
Secretary-Trea§urer
Building Permit No. V ral�9 C4"�
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
Telephon : 791-3146
Permit Fee /
Final Inspection Made BY: Date
Plumbing 1 ctor
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
Fiel
Plumbing Board
Office
Date
City of Hag. 1
WASHINGTON COUNTY SANITARY "'STRICT SANITARY SEWER LATEP,,-
WASHINGTON COUNTY, MO. CONSTRUCTION RECCIki!
Project: Maugansville/OO/rchard Hills Sanitary Sewerage Collection System
Street (or location): k -7/-\j 944' K0F? HVALLF--Y gni
Contractor:� Lisbon Contractors. Inc, � Clz�r� -"S1Ynr, n -L
MH G q-7 TO MH %46
Date Installed 23 MARCH X0-4 Wye Ste. On Main
wIL JILL— ITFL ULFIn ITFL LALAV. LAYING
IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
TEC &I *Hort.= Total
VC
+ Hoiz. o a
NOTES Drop
C.o.
IIAS
2 STUB �,
CAP
Depth of Cleanout q.41' ®Flow Line ~'~�
Cleanout Trom M
Layed 0 2-__%
VkiKRwyvN Basement Service
ow
1 }-77.3R F a
MH# CA -7
MH#
Amounts pertaining to work completed this period, reviewed and approved.
By
UCSD Inspe orontiac ore Rep.
trnww. o.ircr_A )
W
5i
Sc/YlMoNS
Dog A
46�27 PA
Sr-1allo A SA'
110–I1428 Lf�o
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
13S t %
Contract No. SD15- 3-S
—
Property Address: -2-&< Northvalley Drive
_MH 647 to MH 648 D I #601-34n
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.
X -
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: aztz 83
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56