HomeMy WebLinkAboutLat_18515OldColonyLaneWASHINGTON COUNTY SANITARY DISTRICT
,33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER 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
I t5_6
PERMIT NO.
DATE
SUBDISTRICT
Address:
To Main Line:
Connection Fee
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.
lo?ter Account Nb. 0-1..
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
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date _
Plumbing Inspec
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 Board
Field Offic
WASHINGTON COUNTY SANITAR. DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE
CONSTRUCTION nECORI"!
Project: Mauoanaville/Orchard Hills 5anitary Sewerage �ollec�lon �ro�■
zais
Street (or location) : _ 11;3 6-:f oc D to �o4 Y LA 6AL 7Ln'
Contractor:_ Lisbon Contractors. -Inc. Tpfrw, A
MH S26 T, , l)i T -G- 7 yo °
Oats Installed G 2x.94 Wye Sta. On Main o o r
6"sD2 ;?C.
P!!c.
NOTES:
P.V.c. VF St1d.
Drop
,79.oLt-
LENGTH
aHorz.= TWa1
*siopo+orz=
err rg z�
Cleanout From
Layed 1 7.5-
A), ,_Basement Service
z vo el
MH# 5 2
Amounts pertaining qqto work completed this period, reviewed and approved.
By
Inspector Contractors Rep.
Vo.
s �j71az
r
W
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
IN Contract No. SD15- 3-S
Property Address: 13df7 Old Colony Lane
MH 598 101 ?40 @i _240" DWG. #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.
w DM R/K, I I A
H SD15-527
3
Raw o _ SA IV MH SD15-528
I
000001 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: Z1Z 2 /R3
Attest:
(Form WCSC-1)
Replaces Form WCSC-56
.s
WASHINGTON COUNTY SANITARY DISTRICT
/*'%, 33 West Washington Street, Hagerstown, Maryland 217,0 ■ (301) 791.3083
To: Litbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address 0440-
Signed.
Signed.
--
Property Owmer �•
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:
Requested by Lisbon JContractors, Inc.
Approved by W.C.S.D. Inspector tib a
Date