HomeMy WebLinkAboutLat_18602OrchardHillsParkwayNQSH NGTON COUNTY SANITARY DISTRICT
33 W, WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
RO. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: 0Sepi1 r rioWa!
For Property Located at: —1108 Orchard Hi t is Pkwy. /8(00 )
PERMIT NO. _
DATE
SUBDISTRICT
Owned by: jusepni F Howard Address: 1108 Orchard Hi i i s Pkwy-, Hagerstown, Iv! .
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
( ) Units Other
Industrial
Connection Fee $620 tit) — Date Paid E/ 1 Q s�
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.
Water Account No. 1-15-7910-8
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
Plumbi nspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in,accordancefyv'th/,a�lipable approved construction drawings will be made by:
X ! Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
Date
DISTRIBUTION: Permittee Plumbing Board
City Of Hag.
Field Office i
JMINGTON COUNTY SANITARY Or AICT
4SHINGTON COUNTY, MO.
NITARY SEWER LATEO:
.ONSTRUCTION HCnvr!
Project: Mauoaney orchard til
r
I
Street (or location): r72L1I 69! tf6)6 PKhl'y
Contractors Lisbon Contractors- Ing.
Date Installed »Ju/ 8�
NOTES:
16DeZ6 PVL-. 16••5De Zb
PVI
C— 5.13 V F
MAW
MH TO MH ��3
Wye Sts. On Maino-l-,64-434..
TH
St1d.
eHorz.• Tot
Drop 34.30L.F 1 6.504A -3o1 M..80L.F.
i
G,"SDR 7_(� T? -x
4S• 8end
2'Sk�6E:C4p
Depth of Cleanout s.13 V. A7. 41Flou Line
Cleanout ZB.9 row 4- ^,Ajkj
Layed 2 x AFTER CoQ
Po�S��E Basement Service
P
r
Amount•par Hing to work completed this period, reviewed and approved.
8Y _ t t S`GU
Inspector Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 1 8 Orchard Hills Parkway
MH 544 to MH 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.
k
i
8
0 )
D 15- 5-43
01 811 SAN
zl
co
- --- 2 � � W —� I
I DMH
-� -f - --- �- 36"X22°S -
- - i Z N
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:
Owner
Owner
Atte t�-
W Co. Sanitary District
(Form WCSC-1jJ
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
0
To: Lisboa Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
5FW-r-qA6f AT DF516NATEn Wry — 61000,7"
Address /!486Ye-k►rd////s &Ay �y�rsfc�A/
Signed
roper y Owner
Date W
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 it contract price at the following
location:
•
i /
Requested by Lisbon Contractors, Inc. ;
,Approved by W.C.S.D. Inspector.
Date---- Z Z ��_ i