HomeMy WebLinkAboutLat_18507OrchardHillsParkway,JAS14INGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
(301) 791-3083/3084
PERMIT NO.
DATE
�IugaI"i:. �9
Permission is hereby given to: Clarence L. C opper
For Property Located at: 1313 Orchard H lis Parkway
Owned by: Ciarence L_ 0100PEr Address: 1313 Orchard Hilis Parkway, Hagerstown, MID
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
( 1) Units Other
Industrial
Connection Fee $u20.0u Date Paid J/20%,
To connect to a public sewerage/WXI:V�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.
�a�er Recount Unknown.
Secretary -Treasurer IQ
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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date_
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field -,-Office Ci T, y j ; : ;x 0, .
WASHINGTON COUNTY SANITARY DT 1ICT
WASHINGTON COUNTY, MO.
INITARY SEWER LATE,."
.INSTRUCTION RECOEl
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : �/SSD � Z �`/`a l n1e! 14W1fD �i�cs �Kd►!�/
Contractor:Lisbon Contractors. Inc. n )o Y- i-- - - :...�ge.:.,.
Ci c',- 0l= 4` ZZf d
MH 5-:50 TO MH -�3/
A.
Date Installed Wye Ste. On Main Ct7
. . I- 4. r%1 -"V . Ln I a fru
SIZE TYPE PIPE C,0, C.O. LATERAL LENGTH LENGTH
MOM6 *Harz.- Tota
TOe VC St d.
M /
NOTES:
MAiill i Drop I 23 8�X •�- IZopr 3.33r Z7.53L-Tota.
(';'sC>P--
Z'/
%
Depth of CleanoutGFlow Line
Cleanout 7-c3 rF om InAIAI
VSs/ 8esament Service
MHS J U
Amounts parts 9 to cos leted
8 Y �—
wc SO InspectdLr
MH#
this period, reviewed and approved*
on rac ors ep.
la
9-// A, M, 60,lime
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
19561 Contract No. SD1 5- 3-S
Property Address: 1D6 Orchard Hills Parkway
_ MH 531_ �kT0 MN Z DJ , #601-3 0
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/ r
SD15-5,29
91
-'MH SC) 15-
7-1 4� �r L�' �� 0 R.3. Q
�21 _ � /W
OWN OM do- mom 0 0 lea
50' 0
I
SCALE..
1`
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.
llate. -
'f
Owner
Attest: Q
Wash. Co. Sanitary -/District
(Form WCSC-1)
Replaces Form WCSC-56
Owner
330 - 33
WASHINGTON COUNTY SANITARY DISTRICT
l 33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
REQEIVED
--UNi"Y
SAM fAkY
To: Lisbon Contractors, Inc. ���s; �.1�{< L;1?"E
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address
Signed L i1 --r--<-
roper y UZne
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, _Maryland 21710
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 Contractors, Inc. C,�,'
Approved by W.C.S.D. Inspector_ (j
Date LV Z �L) l 8y