HomeMy WebLinkAboutLat_18542OrchardHillsParkway\SHINGTO )UNTY SANITARY
NHAGERSTOWN, MARYLAND 21741-0571
W. WASHINGTON STREET
P.O. BOX 571
ELIC SEWERAGEh71lAI'Vil SYSTEM
PERMIT TO CONNECT T:
Permission is hereby
1,)n2 nrchard di! Is Pkwy.
DISTRICT PERMIT NO. n4;
(301) 791-3083/3084 DATE _ —=
-
SU IST ICT i\� o . 15
Maugansvi�-p1 eTgr�har 1 1 1�
For Property Locate 2 Jrchartj k1�i_1 ? Pkwv. , Hagers'Lo>411, i4D
r W Ke 1 % 2 V Address:
Owned by:i.� t
To Main Line:
To Service Connection
Type of Conra(c;:'
(;) Units Other
Aesidential
Type of S ic`4Industrial
/Commercial
r,(iaO.0 Date Paid
Connection Fee --
Meter iz .
corect to a public sewerage dD0onmentstsofnthe I previopusr abandonment
system shall previous
conformprivate
with the provisions installation
the
/o th,�onnection and the aba
i Lawai the State of Maryland and Washington County Sanitary District Specifications.
( any local ordinance that is in effect with regards to road cutting, etc.
T permit does not supersede
&BILITY
LLOTHER PERMITS, SDREMAINS LOCAL, MUST
BE OBTPOPERTY OWNERBY THE PERTY OWNER AND ALL RESP CONNECTED THEREWITH
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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Date
G'
Final Inspection Made BY: Plumbing Ins for
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
Date
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board
Field -i Offi
City of Hag.__L-
_
WASHINGTON COUNTY SANITARY _.STRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATE :. _
CONSTRUCTION REC(►i"!
Project: Maugal a Urch ra m11-46 Jail&- -
1g5Y�.
Street (or location) : COLI 6,9f
Contractor: Lisbon
Date Installed_
Z T P PIPE C.O.CIO! LATER
8x6'c8" &'�GR2C our. 6'�De2Gau.�.
9C v. F. St 1 d.
NOTES:
2�
Drop
Depth of Cleanout 3.46VF. •Flow Line
Cleanout 19.2 romp MAi_!
Layed Drop
• �brg�E easement Service
2 Biu 6 -.Cop
MH 5Qd TO MH X43
Wye Sts. On Main >t!5 2 Lf
TH
LENGTH
rz.• Total
Wope+ H0tZ=T0t5
6. '7Z -* t5 06 = Z3.80 L 1.
MH# f 4
Amounts parts nin9 to work completed this period, reviewed and approved.
BY
nspOctorUCSO-IContractors Rep4p
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
I sty, y Contract No. SD15- 3-S
Property Address: 11<2 Orchard Hills Parkway
ISH 54¢ to ISH 543
DWG. #601-306
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.
— -- 3 - - -2" W -
SD 15- 43 8" SAN w DMI
36"x22"S - -
-I_ R/W
J Q
N
692 -- — — —
( I ) r (12 02) °D
cn
J
J.
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.
Date: ( /?- 83 f W • —_
Owner
Own r
Attest: I
as Co. Sanit District
(Form WCSC-1)
Replaces Form WCSC-56