HomeMy WebLinkAboutLat_13121OrchidDriveWASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416 V,
ffaLL,11-1,
Permit to Connect to Public Water/Sewer System 3l % g / q F
Type of Permit i`E' �;- Li EWhtr Permit No.
Subdistrict Name�Issue Date
Mainline Contract No. Void Date —
Building Permit No. Subdistrict No
Permission is hereby given to:
Property Owner: a- R H+_'iM.ES
of address: ? LE I TERSB1iF' '� PIKE
u ,r ER r,r,taA1 tin : 1742
For property located at:
Lot No. Su
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full? A 1 0�'r�'"
Date Fees Paid 1 - it
WCSD Dist./Coll. Sy em Fee $
WCSD Ready to Serve Fee $
WCSD Fee $
City of HA Fee $
Total Fee $
Remarks I L i Y t t� -"
--ti tl tl'. li 1 C g i v ed d F L L .- e^ li _... u 1: „%. F P'?t. 1
`J E
,: r 150-124 a
Street Address
Phase Sec.
Lateral with Mainline?
Residential EDU'S
Commercial EDU'S
Gal/Day Allocation
Building Number
Ptility 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 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.
Signed _ `r. ti je jL "! I", [ -, F Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-307
Inspection Date: 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
THE PRINTING PUCE
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, Mf`- SANITARY SEWER LATE=
CONSTRUCTION REPORT
Project: NORrA BNo0 C".s-r&Tes Co/7ec7�u1,
Street (or location): _ 014GH1 p 124/Vt Lo? ° s.9
Contractor: 1� tr,"r t 111E C o J1Tracs'ay5 3I12-
Date Installed
MHy9s? ---TO
MH J___ ,P
Wye Sta. On
Main O --i! IT r
WYE SIZE -
TYPE PIPE
TYPE
DEPTH TYPE
EXCAVATION
4 V
C. 0.
Cts r
C- 0. LATERAL
LENGTH
LAYING LENGTI•
POC
Ido
n
�v„�q��
STPD.
Horiz. = Total
S4it
�3?aSs
*A3,e-.J�
23 C
NOTES:
DROP
Slope + Horiz. = To
11
13,
Depth of Cleanout of Flow Line
Cleanout /3' From
Q Mari, Gs;!.rt
Layed at 407-0
Nd Basement Service
MH 4t- //S7
r M H # //3-,P
Amounts pertaining to work completed this
V14
period, reviewed and approved.
BY F IV V14
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984