HomeMy WebLinkAboutLat_13502PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. W,ASHfNGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571 .
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER:SYSTEM Ma ug a
Permission is hereby given to: American Industrial kesources r&5
For Property Located at: 2115E Pennsylvania Avenue, Hagerstown,
Ownedby: American Indust. Res Address: P.O. Box Drawer ARI,
Type of Connection: To Service Connection A To Main Line:
Type of Service: Residential
Commercial
Meter Size
Connection Fee
PERMIT NO. 6.61
DATE 6/4/85
SUBDISTRICT No. 15
nsville/Orchard Hills
Maryland 21740`
Bartow, FL 33830
1) Units Other
Industrial
1 , 240.00 Date Paid b/4/86
To connect to a public sewerage/*Xtei:system (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.
Building Permit No.
i'
Secretary-Treasurr Q
1
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 I ector
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: Date
DISTRIBUTION: Permittee i Plumbing Board
Field Office City of Hag. 1
JASMINGTON COUNTY SANITARY 0j;TRICT SANITARY SEWCR LATCH:s
,IASHINGTON COUNTYt AD. ZjNsTRUCTION ncumii �
$rojects Maucansyills/Or hard Hills Sanitary Sawraaa Coliaatian srataimom
woo
!treat (or looetion) s /,'a.r to so A 2-115 9 -PCJ Q A.
le f -J
MH ! TO
Date Installed 3-2-1 - 8s Wye Ste, On Main.(f
1
J TYPE TH TYPE
HE TYPEp �,O ATERAL_ ___ LENGTH LENGTH'_:;:
A s IS ----•-I
)epth of Cleano�st _ . 9 3 �F lou Li
:lesnout Z- I.3 `- From :t ft Alkf
.aced Z.00 7Y AFTER DROP
• YES Basement Service
jw 4, 19
5 -
IM /,& s 7. 4s
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2"5kj b V" Ca P
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n 40
Amounts pertaining to work cosipleted this periodo reviewed and approved*
By
WCSD Inspector on rac ore mope
c3it75-° Wo 1�T� ^ ;7'S � , .5 4a
AMrtAM-TtA.tStlac �,ES�xtQccs.�i�1� Washington County Sanitary District
�p�jq�� 17Ede)AEbs � TiQa�tEsSrouo,l.iJ(,
SEWER SERVICE LOCATION
Subdistrict No. SD#15
(019 Contract No. SD15- 3-3
Property Address: 2115 B Pennsylvania Avenue
ISH 619 to SIH 680 DWG-. #601-325
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.
P3
3
N
MH SD15-619 10"FORCE MAIN �,, 811 SAN.
1z w - r
I
W Ll
\
I- - 1050 A
Q
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.
Date:
Owner
er
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56