HomeMy WebLinkAboutLat_18610OrchardHillsParkway.,'ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 61 i
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 rzl L4 1.5
P.O. BOX 571 DATE y p
SUBDISTRICT o • 7
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWA,TERSYSTEM Maugan5vi i 1e/OncliarEl H1 i i s,
Permission is hereby given to: Audrey R. Grimm
For Property Located at: 1104 Orchard Hills Pkwy, Hagerstown, Maryland 21740
Owned by: Audrey R. Grim Address: 1104, Orchard Hills Pkwy, Hagerstown.; PM
�, 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620,.00 — Date Paid April 24, 1y 5
To connect to a public sewerageh74At&Xsystem (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.
.star No,, 0 15 7895 * 2
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
Plumbing I actor
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: Permitt
i Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field I Office City of Hag . 1
WASHINGTON COUNTY SANITARY 01 4ICT NITARY SEWER LATCH',
WASHINGTON COUNTY, MO. .dNSTRUCTION nE nnr?
Project: Mouamnevillo/Orchard Hills Sanitary Sauaraas Collection Svstew
iyt�ztC>
Street dor location) : r -,a r > -e O ecf-/p20 4-// L -c -s p/cwy 1 �r m
Contractor:L,� isbon Contractors, Inc.
i
MH X05 TO MH
Date Installed Wye Ste. On Main z_ 3 7 e4:
6"xb"K8- {(o"ate
NOTES:
6I g.-/7V.F
P. YL -
.
St1d.
ors.• Tot
Drop � . ;�c> ii•&0-r23.17=
Depth of Cleanout 6--l-7v F- 9Flou Line
Cleanout Jrow 4-- KIAIU ""—
Loynd aFTEP� Deor-
• Basement Service
v
Mq
Amounts psrtaln n0 to rk completed this per;odg reviewed and approved.
BY
WICSD Ina -0 -96 -tom Contractors Rep.
CoPY -Co o)tjER
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15= 3-S
fulo —
Property Address: -+I-C4 Orchard Hills Parkway
MH &D6 to ISH 01--4j DWG. #601-311
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.
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. _
r
Date:
�T Owner
Owner
Attest:
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
pyx.
WASHINGTON COUNTY SANITARY DISTRICT
11 _ L
!II
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Sven and One-half Feet (721)
..� Address 1104' Orchard Hills F
M J
Signed
Pro r y Owner
Date 10 February 1934
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 in contract price at the following
location:
Requested by Lisbon Contractors, Inc. C�
;approved by W.C.S.D. Inspector
Date -a//D/ e /