HomeMy WebLinkAboutLat_14235OakSpringsRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 ((300�1)) 7913083/�084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
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Permission is hereby given to: —
For Property Located at:
n, nail by- Address:
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Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connectio
To Main Line:
ther
idustrial
Date Paid
PERMIT NO
DATE
SUBDISTRICT
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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.
'4 _ Ac�rount No. Unav;ai-I able `
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: ek -rAj-,- Date
Plumbing 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permi
Plumbing Board
Field Off
WASHINGTON COUNTY SANITA, DISTRICT SANITARY SEWER LATE'.,:
WASHINGTON COUNTY, MO. CONSTRUCTION RE
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Project: Mauoanaville Orch rd Hi Sanitary ® Co ct on m
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Street (or location) : (!5QI 5004 f-3 42 e
Contractor:. Lisbon ontractors. in . -1 - I -,-L ' I WN - 6 1 - —
0Oro f 7Z5 & Y
CXY MH 7215 TO MH
Date Inatal led 7Junc gw�- Wye Ste. On Main -) -t o o L
H X U.
9IZE TYPE PIPE C 0 C.O. LATERAL LENGTH LENGTH
nro�� P�/G . CA57 �eotil *Hort. = Total
coNu.Tb TAG•.Pvc. 4.3ZV.F. St'd.
hl,N. 5AC 85.30(-
ape + horz= a
Depth of Cleanout 4. 3ZIl.F- AFlow Line
Cleanout 4X from _ 83.7 F -Rot -1-t- M -H.
L a y e d 4_ GYcC.on1C
oassra�E Basement Service FENCC
3 Sfu6�C4p. -
MH# 7z4 MH# 7zs
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Amounts par ning to work completed this period, reviewed and approved.
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BY YJ
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InspectorContractor* Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
Property Address: Alphin Aircraft Oaks Road
MH 725 Term. CA< SAel'NS DWG. #601-347
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.
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V'SN.
MH SD15-725 W -�
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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 ois
connection to the lateral and to prevent damage to the I anout
which will be installed by the District at or near the p?°operty
line.
Date: t3
er
e
Attest:
ash- Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56