HomeMy WebLinkAboutLat_18620OrchardHillsParkway~WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 51 9
r HAGERSTOWN,MARYLAND21741-0571 (301) 791-308313084 1``iarch 5 , 19 65
33 W. WASHINGTON STREET DATE
P.O. BOX 571 -
SUBDISTRICT NO 15 -
PERMIT TO CONNECT TO PUBLIC SEWERAG EIWATEbtSYSTEM
MaU9a115 :r 0 H i _n S
Permis jV-i�`-hereby given to: Ar ` riaZe l I'i Seibert �8( o
For Property Located at:
1010 Orchard Hi.lis Pkwy, Hagerstown, 'Maryland 21740
Owned by: 1fD
1d7_,-1 i�`i. Seibert. Address: 1010 Orchard Hi i i s kw M
1740
Type of Connection: To Service C t �'� To Main Line:
Type of Service: Residential _�,
( 1) Units Other
Commercial
Industrial
Meter Size _ Connection Fee $620.00 — Date Paid iAarrh
To connect to a public sewerage*AWKsystem (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.
Meter No. 15-7775*1 % f 31
ecretarjy-Treasurer
Building Permit No. �'U/V
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 Inspector
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
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board s
Date
Field Office 1 City o f. Hag . 1.
WASHINGTON COUNTY SANITARY DI AICT
WASHINGTON COUNTY, M0.
NITARY SEWCR LATEP-. t-
L.ONSTRUCTION REC(ivrf
Project: Mauoin yil Orc rc n I ILLj
Street (or location) t_..a4l 607 6th' ORcHA49 14jL5 pK`JJY,)
Contractors Lisbon Contractors Inc.
Date Installed 0-1-7 - Z4
MN &C -A TO MM S
Wye Ste. On Main-
Depth
ain-
�// 45• Senc!
Depth of Cleanout 8.11 V,F 41flow ow Line
Cleanout 29.13' Frow.�4kJ
laced • Z.o AF-rER Dept-
- N8aseaent Service
S;A. t' �•
Amounts pertaining to work completed this period, reviewed and approved.
By
(<.zy
UM-F
napec or Contractors Rep,
00"'•
Ma
6,W,
.M
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
ISL.aa
Property Address: -tt7-O Orchard Hills Parkway
Mii fnA 4-- mu am DWG. #601-303
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.
tit
17 W R/W 12" W
a -�- - T -1 � . \ —
MH SD15-6 SEE
-� R / W—
`CHLORINE?
ELEC_
Ofl 0C
687
(1010)
\
N
:: -A—
SEE DWG. DD -601-321
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: <ZZZIA 3
Owner
Owner
Attest: �Q
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�L(� <ov S
t�
5
N'VASHINCTON, COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 •
To: Lisbon Contractors, Inc.
1.3083
RECEIVE :] —
WASHI,NGTON COUF+TY
SANITARY COMMISSION
i�vs• tcrc�
I hereby request the contractor to install the lateral in
accordance with the following conditions:
0
0
Address /�11�
Signed/� !„'Z- l—
roperty Owner
Date
"'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.
Approved by W.C.S.D. Inspector Q
nfa+A -?-//7 /8V ----_