HomeMy WebLinkAboutLat_18507OldColonyLane>tifi L IN
-V'VASHINGTON
33 k WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
PERMIT NO.
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEMd ug an s\1 i i 1'/ t a i I i u N i) Is
Permission is hereby given to: IL e i? a "d d c
For Property Located at: 1 31 1 Old C 01 U U V L a n S �}}�
Owned by: s��' Riccerb Address: '31 1 01(1 Colony Lane :a + r S t, 0 w i 1 2 "ll "ii
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
620.00 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water Acc ;unt No. 0-15-8400-o L
Secretary -Treasurer g
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 �3
Plumbin spector
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: Permittee Plumbing Board
Field Offi
Date
C
WASHINGTON COUNTY SANITAR DISTRICT SANITARY SEWER LATE,
WASHINGTON COUNTYp MO. CONSTRUCTION fiEC(ii2('
Project: Mauoensville4Orch_ard Hills Sanitary Sewerage Collection System
I so 7
Street (or location): oto cnanyy LAN F_ 695
Contractor:__,_LisbonContractors. Inc. C EC.cca�-elc�
Date Installed�(2G /� y
MH SZ C, TO MH 5Z7
Wye Sts. On Mein IL 3 Z /Kr -
WYE
SIZE
_
TYPE PIPE
C.O.
C*O*_LATERAL
—EXCAV,
LENGTH
LAYING
LENGTH
,x6xg
6"soR 2("
/,)v(-orz.•
_
Total
p v.C.
St 1 d.
pe + H01rZaTf
NOTES:
Drop
3so �. F
Z,
Ll-+- Z7.7o
31.?O LF
Cleanout a 7. 7 sFrom OF M19 iN i-/ N E
Layed 4_;2! 9�
Basement Service
Is { 3s . 7 (i.t
MH# sz r.
MH# 5'z -7
Amounts pertaining to work completed this period) reviewed and approved.
BY ) qc i1
Inspector mon rac orsei�p.
Amok
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
ic�50� Contract No.-% SD15- 3-S
Property P Y Address:_ 1>e1 Old Colony Lane
H1H 52 to MH R97DWG. #601 320
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.
7
I I
2 w p R1 w
�lot SA all
w' Riw o — N MH SD15-528
699
(1311) 0---
Q
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:6
Oer —,
11(2w-�4-1
• POwner
Attest: /
Wash. Co. Sanitar District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON, COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
RECEIVED
WASK'INGTO;i coi.IwY'
S" ITARY C0WJ---1S"10N
--t
To: Lisbon Contractors, Inc. '7
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ 01A eo�cnw
e.
Signed
roper y owner
�k Date I�"1c�.1'�' l , I
"Washington County Sanitary District
33 West Washington Street
Hagerstown,.Mesyland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-5
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:
____ ----
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date 2- 2�� U'7