HomeMy WebLinkAboutLat_13819NorthvalleyDriveWASHINGTON COUNTY SANITARY DISTRICT
3;i W. WASHINGTON STREET
PERMIT NO.
HAGERSTOWN, MARYLAND 21740 (301) 791-308313084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
i �bP
To Main Line:_
Units Other
Industrial
Date Paid
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 / p�
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: Date
DISTRIBUTION: Permittee Plumbing Bo
Field Offic
WASHINGTON COUNTY SANITARY "`'STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE0,,
CONSTRUCTION RECfjkl!
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
9
Street (or location): 0.)02;,4vft._C-0 J E- GAr 929
Contractor: Lisbon -Contractors, Inc. (' (It iar,\ i' morel;,.
Date Installed 4 -c -e+
MH (o¢7 TO MH 1 4-8
Wye Sta. On Main 14ZIL4, ✓
W+L
SIZE
J1LL—
TYPE PIPE
ITFL
C.O.
uLNin
C.O.
ITNL
I LATERAL
LALAV,
LENGTH
LAYING
LENGTH
8'<<"'.s"
b' PJC
*Hort.= Tota
Sea 3S
ope + norz= eta
NOTES:
Drop
3.4. o L. F
5.92t3o•c>v.35.42C.<
SWALe
i
I
U b
�. W/�'' 2 _cecl Gas
MAI ki
1
Depth of Cleanout 5.00V_F.*Flow Line
Cleanout 25.7' ro�MA _
Layed 0 W. f % ,4F7ER OEOP
p03510CE Basement Service
2 •S;U�E:CGp
- - - • C . cam- _ ___ice
MH# c.4-1 MH# L 4,9
Amounts pertaining to work completed this period, reviewed and approved.
BY - 2L-WCS
D Inspec Yo
r Contractors Rep.
(r..��_ 1•trCf _A i
W
AIN
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SDI 5- 3-S
Property Address: 25-1_7 Northvalley Drive
MH 647 to MH 648_ 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.
(MAC.) 8"SAN
1 � I
N '
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O
It
MH SD15-64877�
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n77qN
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 wi'' '-
line.
Date: 111--z
Attest:
(Form WCSC-1)
Replaces Form WCSC-56
A011•
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WASHINGTON COUNTY SANITARY DISTRICT
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l
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
N Burt
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
//I V eIR J)/, g /-,
C)'Pc x G V.
cr eitQ 4 t ;LLz 8 V a
Address_ 2, f�/
'3
Signed
rop r Wher W„r, 77 If-e/v,7c/
Dates
7094 -
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:
SUB �rC� o g w4 2
. w
Requested by Lisbon Contractors, Inc. 46.777X,-Ir`� / �1,662�
Approved by W.C.S.D, Inspector � - L3�
Date 3Z/?- 4 b'