HomeMy WebLinkAboutLat_13007PennsylvaniaAvenueWashington County Sanitary'' strict
Washington County, Md.
'M%k SANITARY SEWER LATERAL
CONSTRUCTION RECORD
AO' Project: SD6-1-S Fountainhead 14%
f3c C7
Street (or location) : MH to MH
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Contractor: Corson and Gruman Company
...
Depth of Cleanout �:, 7' @ Flow Line
Cleanout 4/. S' From
Lay d @ 3 °°
Basement Service
l
Amounts pertaini g to work completed this period, r wed ?and appro
By
nspec or
(Form WCSC - 4)
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
0.
Property Address: AW494 Pennsylvania Ave. M -H Fz-q-Fx1Q Page 64 nf 7n
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.
n9
�0 1
t
1-704
The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside the property line at the
location indicated above, said ten (10) feet to include five (5) feet of
lateral installation beyond the cleanout, plus an additional five (5) feet
of excavation beyond the terminus of the lateral to facilitate, and make
less expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the District in those areas where
rock is encountered.
Date:
Attest:
Owner
Owner
Wash. Co. Sanitary District
(Form WCSC-56) (110878)
r�C,T°N C,WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
' Williamsport, MD 21795
301 791-3083 Replaces Connection
Permit 1 111122
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No. _
Permission is hereby given to
Permit to Connect to Public Water/Sewer System
Permit No. _
Issue Date _
Void Date
Subdistrict No.
Property Owner. S1
of address: JRN
P1 � \;D
For property located at:
Lot No. , Subdiv.
Owner's Agent: E
Agent's Address:
Previous Owner:
S=`F 9f) 11"!
Street Address
Phase Sec.
Fees Paid in Full?
Lateral with Mainline?
Date Fees Paid
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee $
Remarks
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.
Signed: Date:/
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
Inspection Date: _ E. 77. 9'7 Plumbing Inspector:
RECEIV )
AUG 2 8 1997
WASHINGTON COUNTY
WATER & SEWER DEPT.
WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
' Williamsport, MD 21795 ?EPLACED CONNECTION
�R YL nNO
(301) 791-3083 'ERMTT # 0123
Permit to Connect to Public Water/Sewer System (yYL�.l- 1_
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No. _
Permission is hereby given to:
Property Owner:
of address:
For property located at:
Lot No. Subdiv.
Owner's Agent: _
Agent's Address:
Previous Owner:
Permit No. _
Issue Date _
Void Date _
Subdistrict No.
Street Address
Phase Sec.
Fees Paid in Full?
Lateral with Mainline?
Date Fees Paid
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee $
Remarks
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.
Signed:ta,,f 7 i',154 -4'i lF Date: J / /Y 7
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 1
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: I Z'7-97 Plumbing Inspector:
FCF
AUG 2 g 1991
WASHINGTON COUNTY
WATER & SEWER DEPT