HomeMy WebLinkAboutLat_13504PennsylvaniaAvenue" R„A ISHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM M a u r a ns
PERMIT NO
DATE
SUBDISTRICT
Permission is hereby given to:
iltiia,:,�: U+. ��U�1S%('lai �c,s�itt"'::?3 ,'3� ■
For Property Located at: 21 15 d P e n n s y I v a n 1 a A V P ft UC , "I'a g e r” S
P.O. Drawer AR1, Bartow, F XXXXX XX 0
Owned by:
\,l t l til IaduSt.Re5- Address: XXXXXXXXXXX'XXXXXXXXXXXXXXXX:XXXXXXXXXXXX
Type of Connection: To Service Connection
Type of Service: Residential --
Commercial
Meter Size Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public seweragelwgt)er;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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
Building Permit No.
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 A"o,a
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:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANITARY L rRICT ANITARY SEWER LATE,'.:
WASHINGTON COUNTY, MO. CONSTRUCTION fconsr!
Systemllection
ProProject:Msuainevi11e10rchard Hills Sanitary Sewerage Collection ---
Street (or location) : SAL ; � `'r r-,�� ny).
Contractor:, Lisbon
Date Installed 9 -1 G -e)+
GA 5T
NOTES:
AIf,1
r
MH 60 TO MH C��O
Wye Sts. On Main, 0+11 R4_
TH
St 1 d. 1 27.50 Lr--.
Drop
►
--ZZ.So
Ph/.C•
46
LENGTH
•Horz.• Total
Z4.5a LF.
ub c P
Depth of Cleanout 0.30 •f lou line
Cleanout From
laced • '-�.S
W A Basement Service
SrA. o+I l QT
!•1619 � - '
0
Amounts pertaining to work completed this period, reviewed and approved.
By rd� :L
nspec orContractors ape
klcsn, : ►wv u%
AC'S • '',4ue�,f� � ��
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
'v I , �Contract No. SD15- 3-S
Property Address: 2115 B Pennsylvania Avenue
MH 619 to MH 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.
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
Owner
00011, Attest:
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56