HomeMy WebLinkAboutLat_13014OrchidDrive�C,TON WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
��gRYLnNv (301) 791-3083 Np o i
Permit to Connect to Public Water/Sewer System
Type of Permit
Subdistrict Name
Mainline Contract No.
Building Permit No. Pgoor)-15 .
Permission is hereby given to:
Property Owner:
of address:
Permit No. SCP 150-1456
Issue Date 0 t? 2 a r
Void Date 0 E'? S% 0 y
Subdistrict No. 150
For property located at:l Street Address
Lot No. Subdiv. Phase Sec.
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Total
Remarks
Fee
Fee
Fee
Fee
Fee
-41t °•i .L:
Lateral with Mainline?
Residential EDU's
Commercial EDU's _
Gal/Day Allocation_
Building Number
Misc. Number
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Sig
Date: �'� l�.,13_
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
J.�JrInspection Date: J' Plumbing Inspector:
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. MD ..
Project: /Volfr4 1.3a0•K O.S7Z71cs Ce✓%cT.o� ,Sks%��., s-is'b-s'��
Street (or location): oRCh'io
Contractor: /-a,. /2o1y-/����
i'�'� vi//L= G �s+Tf,,,�s7r>
Date Installed
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
MH /'/ 5-5- TO MH //S'4
Wye Sia. On Main 1;1,o3 4,7—
WYE
SIZE -
TYPE PIPE
TYPE
r- 0.
DEPTH
C- 0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
P& e. siR-7lG
ficin
Horiz. ' Total
Mbs
STPD.
y
xb'xg
"„
sot
PfA,53
�S L F3TI-
;ZoGFrile- y,
Slope + Horiz. = Tota.
NOTES:
DROP
Depth of Cleanout at Flow Line
Cleanout From r,�- I-," Lj Nr
Layed at 2,0/"
& 0 Basement Service
MH # //S (6
S rA )+o; L -r
b
�0
v
M H # 1 /s -S -
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS- 2