HomeMy WebLinkAboutLat_18603OrchardHillsParkway,-IINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
( :)Units
Commercial
Meter Size
Connection Fee
(301) 791-3083/3084
/C9 000'3
_ To Main Line:
Other
Industrial
Date Paid
PERMIT NO. _
DATE
SUBDISTRICT
To connect to a public sewerage/mater 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.
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
Final Inspection Made BY: 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:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
- .+.
WASHINGTON COUNTY SANITARY Ol AICT
WASHINGTON COUNTY, MO.
UNITARY SEWER LATE'."°
t,ONSTRUCTION rt conr'
Projects Mauaanstti Orc o n
Street (or location) s l,41 ( 8Z al t -Ls
pkwy-.�
Contractors __ Lisbor C^otrfig Orm Inc.
i
MH g4 5 T O AM Z44 -
Date Installed Wye Sts. On Main o,...*, 6: - 3..L4..
x�'•x 8" i�
NOTES:
Ve Flt!L
02 "-
pv(- . �. C�7 V F. St 1 d.
Drop I 3o. 60 (-.)'
Depth of Cleanout 7.0 7 4fiow Line
Clssnout Z41 • s From +-MAIILI
Layed Z AFTER O2op
posse ace Basement Service
MMMM�
2 Stub � Gu P
Mf S4 -S
r.•
7.4 14 23.30 = 30.711--C
Amounts pert inq to Mork completed this psriod, reviewed and approved.
8Y -LL21�
inspector Contractors Hope
(�U63
ci L'Ow
Adkk
Washington County -,Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: ?7 Orchard Hills Parkway
MH DWG. #6D1-311
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.
? SEE DWG DD - G01- 307
662 '
(1107)
Q '
i
8 SAN. .--
DMH SD15 _ 544
K
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. / f
Date.
Owner.
er
Attest: �Q
Pas�Cotary District
(Form WCSC-1)
Replaces Form WCSC-56