HomeMy WebLinkAboutLat_13902NorthvalleyDriveWASHINGTON COUNTY SANITARY r -STRICT SANITARY SEWER LATCH -,"-
WASHINGTON COUNTY, MO.-ONSTRUCTION REC(li;i;
Project: Maug-ansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : C4I 935 r
Contractor: Lisbon Contractors. Inc.
MH %Q9 TO MH �,30
Date Installed , ioAP--/L64- Wye Sts. On Main
DEPTHWYE SIZE— -TYPE TYPE EXE—AV. LAYING
SIZE TYPE PIPE C 0 C.O. LATERAL LENGTH LENGTH
8"o"X8""�D226�v.G. 6"SD�Z6
*Hort.- Total
G 5A, V. F• St' d.
"ryiope + morz- i oti
Drop 31 (70L..F ,7 :86.0=33.170L.F
Depth of Cleanout a.lbV.� ®flow Line .-..i
Cleanout 27.9 F romp AfA1 J
Layed ® 4.O %.44e, Drop
• Po:,S1rc.-6 Basement Service 2'S4ubt+Cal,
NIH#&-,�' MH# ;
Amounts pa inin9 to work completed this period, reviewed and approved.
B Y
WC o I pector Contractors Rep.
Washington -V-11, County Sanitary District
'z '��V
h o � SEWER SERVICE LOCATION
VA Subdistrict No. SD#15 _
W J"
139 Contract No. SD15- 3-S
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Property Address: -2-5.44-Northvalley Drive
_MH 649 to MH 650 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.
SPS
21. W
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MH SDI -649- 8"SAN
/ C7 /
x
0
9-375-
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H ISD15-65
TB.W65 (I
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:
Owner
uwner
000, Attest:
Was . Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
i�
,WASHINGTON
F-1
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:
WAVAO EW-lawam •
Address ,S Yl CL =
Signed
Property Owrier
Date
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:
Contractors,
Approved by W.C.S.D. InspectorCv cm, 2
Date Kj,v.7, 1a65
WASHINGTON 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:
Address-,;,)S-
&4ep�,/ �/�9GL�ylUE
Signed
Property Owner
Date-
llaa-
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:
C. «ter fijL� �fl�
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date Z/Z y/ & y
HINGTON COUNTY SANITARY DISTRICT
WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
JX 571
PERMIT NO.L;_�',
DATE
�UBDISTRIC I'+®• �- -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAfeR SYSTEM Maugansv1--161Ux'G a
Permission is hereby given to: I
For Property Located at:
Owned by: RL)CIO('t:i..%- V4 11 idiris Address: 2341 iiui'i,JVal ley DY'iVL a:'u �-Oylw �)
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size _ Connection Fee _. Date Paid
To connect to a public sewerage/
. r 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.
i
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
Plumbing pector
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: Permitt
Fiel
t Plumbing Board
Office
Date