HomeMy WebLinkAboutLat_13027OrchidDriveWASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No.
Subdistrict Name_I t U SV I LL Oi Issue Date
Mainline Contract No. 1-50-566 Void Date
Building Permit No. 4-6299 Subdistrict No.
150-1234
Permission is herebgIven to:
Property Owner: J6HN R. OLIVER CO.
of address: 19733 LE I TERSBURG PIKE
HAGERSTOWN MD 21740
For property located at: E S bDq ORCHARD DRIVE Street Address
Lot No. `� Subdiv. NORTHBROOK ESTATES Phase-Sec.-
Owner's
haseSec.
Owner's Agent: JOHN R. OLIVER CO., INC.
Agent's Address: ----17773 LEI TERSBURG PIKE
Previous Owner:
Fees Paid in Full?
Date Fees Paid '-f1f-Sn I_G(44Y MV
WCSD Dist./Coll. System Fee
WCSD Ready to Serve Fee
-WCSD
yGERSTOWN C -I Fee
Total Fee
Remarks REIMBURSEMENT OF L
$ C$1,500
ERAL
Lateral with Mainline? YES
Residential EDU'S
Commercial EDU'S
Gal/Day Allocation 200
Building Number
Utility Number
92.70 PER
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 WCSD 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 REMAINS WITH THE PROPERTY OWNER.
SignedE7H(i Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by
Inspection Date:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3072
Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown City of Williamsport
WCSD Construction WCSD O&M WCSD File
Permits Office Plumbing Board Plumbing Inspection
lil t
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, M"
Project: _'O or �red�' FSTTes <�/ecT,,, yysT��., s -moi o s cc
Street (or location): 09C_,s1/4J ps-
Contractor: <-Q YtJ7Ebi//E Coh"'-'or-' f),;_3 / /'-3
Date Installed _ 4-73- q
WYE SIZE - TYPE
TYPE PIPE C.0.
Svc- SGr-'OOPor,
C/y t
SPof--2; tfofaif
NOTES
.SANITARY SEWER LATE=
CONSTRUCTION REPORT
MH /SSS' TO MH ,,- r,
Wye Sta. On Main Z�63. 6' ,Pr
DEPTH TYPE EXCAVATION
Co. I LATERAL I LENGTH
bo G bit W y e Frtr' i'5
ST D.
� l /3 e_'c
Depth of Cleanout of Flow Line
Cleanout /3 /-F From
Layed at z
NO Basement Service
M H #• //S"5-
�-7
LAYING LENGTL
Horiz. = Total
Slope + Horiz. = To
2tb3 SRT -
M MH##
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
IT