HomeMy WebLinkAboutLat_18519OldColonyLaneillaS.HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
V%. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEFWPiT R SYSTEM SUBDISTRICT No. 15 -
Mau g a n s v 1 i 1 e/ 0 rch a rd
Hillslvin & Hazel Lohman �a (�
Permission is hereby given to: Me�� \
d
For Property Located at: 1305 Old Colony Lane
Ha,rArrtniin.
Owned by: Saltie Address: c;
ffle
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential ;; (] ) Units Other
Commercial Industrial
Meter Size Connection Fee 620. UU __ Date Paid I U=2-85
To connect to a public seweragehAiRO 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 TI - --
Water Acct. 15-8385-9
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 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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field Office City of Hag. 1
WASHINGTON COUNTY SANITARY 01. AICT NITARY SEWER LATE',
WASHINGTON COUNTY, MO. LONSTRUCTION REConi.?
Projects Aauaaneville/Orchard Hills Sanitary Sewerage Collection Sratam
Street (or location): 41 02 +3eS OL -0 COL04*y L,ANp.
Contractors Linbon-Contractora. Inc.
Date Installed '0-7-e4
go
8"x("x B" 1&"S0R 2(o PYA•
NOTES:
fi
PVC, 1 6,4-3 1 St 1 d.
2'S4u b -�Cap
Drop
14.03
"SDR Z( P/LL
�. Z ,v 45" Se nc l
Depth of Clasnout &•43 fflow Line
Cleanout ' romM41�11
Laced 2, 0 xi AFTER D2oA
• i.J /A Basement Service
MH 5 54 T 0 MH 556
Wye Sts. On Main '2-166-7
.
z.•
2 I s3a
3,7 0 22.33.
MAIkl
StA • Z+Wo •7 L -T, SSf3
r
Amounts pertaining to work completed this per&odg reviewed and approved.
BY �f -i��
nspec or T on rac ore—Re .
lGa
Lid
WashintAMIkn County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 1 Old Colony Lane
_MN 551E To MH 558 DWG . J601-31
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.
is
7
(13 5) �T
I
i
C i
U-) F
LO X14) t
Y7.1
1.� Z
0
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.
t.,,,,A r
Date: /�l o3
Owner
Owner
0111-
At t: i
W Co. Sanitary District
(Form WCSC-
Replaces Form WCSC-56