HomeMy WebLinkAboutLat_13910NorthvalleyDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
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
To Main Line:
Units Other
Industrial
Date Paid
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
Plumbing In ector
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: Permit
Plumbing Boa
Field Offic
Date
WASHINGTON COUNTY SANITARY DI,;;RICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATC',,"
'"'INSTRUCTION REC(ii'\,
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : GSI ��� N. VALLEY DR. FA0,1°d F.-
1 �`( fb
Contractor: Lisbon Contractors, Inc.
MH (,,SO TO MH Cos I TERM.
Wye Sta. On Main 1-''3(0 L
Date Installed 19 MARCH $�{- Y
Y _ TYPE
IZE TYPE PIPE C.O.
DLP TH
C.O.
i TFL
LATERAL
t.^L.nv •
LENGTH
�... _..�
LENGTH
TEE (o"
ri.= Tot
Drop
�0,, rJ�
ope + orz= oti
5.ZSt :5-5-
3•NOTES:
NOTES:
3S. 25
i2'—may i
Z i
(VOTE= GAS h(
1.-tnt�s ARS
2` DEO-F
ML
Depth of Cleanout 3.1311 ®Flow Line
Cleanout 34,S' from M
Layed 0 C) %
ND easement Service
l,,t .o.
S'(A. It3&L
MH# (050
FLOW
MH#(o5l TERM.
Amounts pertaining to work completed this period, revie d and approved.
By
D I ctor Cont actors Rep.
IC'--- urcr–A )
C
Washington County Sanitary District
pp5
t2 SEWER SERVICE LOCATION
( Subdistrict No. SD#15 _
Contract No. SD15- 3-S
)3910
Property Address: -2-5{+9- Northvalley Drive
ISH 650 to SIH 651 _ DWG J601-340
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.
937
O
(2 9)
AS VALVE— 4 G / / d V (2 )
s p
(MAC.) `\� 0
SAN 2" w
(��Raw 'yy
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 th property
line. ii 1
Date:
wner
Atte's—t:
WashVC. Sanitary Dis
(Form WCSC-li,\
Replaces For CSC -56
Owner
�
JASHINGTON 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 5 4 /A �erN t-
Signed��—,/Cl ?t-e� ., --<- *I
Property Owner
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:
3 L4 cC i o G,4,& Avg w dl -M L 1 SAE
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date