HomeMy WebLinkAboutLat_18614OrchardHillsParkwayWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
SUBDISTRICT
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.
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
Plumbing Inspector
Date
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 SANITAR, DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATEO,'
CONSTRUCTION RECtmM
Project: Maud_s_y Ile/Orchard Hills Sanitary Sawerage Collection sv taa
Street (or location): 64r --'I- (S' ��+ D2�/aA20 /-1/Lcs 0icw%i
Contractor: Lisbon Contrac„gra. Inc.
our or' 23010
MH 5d 2 TO MH
Date Installed :2 Wye Ste. On Main
MOMe 6, "s OQ 2(0 0!A[L. 1So2 ZJo
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NOTES:
63YF. I St 1 d.
Drop 1 74 -/01- - F
%°P
NTH
z.• To
Ae,66 459.7Y 77- W5
• L.F.
Depth of Cleanout x.63 V. F. *flow Line
Cleanout F row omni ,
Layed • AG, -r Q
• ��, r��<_ Basement Service
-Q
Mo
�{--,, G .O . - •.•
Amounts per 'nin9 to work complsted this period, reviewed and moved*
MUD nspec or Contractors Pop,
Washington County Sanitary District
SEWER SERVICE LOCATION
LATE R'9 C ,j Ts M it S y Z
Subdistrict No. SD#15
j�&Contract No. SD15- 3-S
Property Address: 1 Orchard Hills Parkway
MH 54Z TERM ; _ D J , . #6❑1-311
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 theoperty
line. i/,p
r ..
Date: 7& /98 �G
er
Attest: C?LL,
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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