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HomeMy WebLinkAboutLat_13508PennsylvaniaAvenue�.,SHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 P.O. BOX 571 PERMIT NO. 864 DATE SUBDISTRICT N0• 15 - PERMIT TO CONNECT TO PUBLIC SEWERAGE/VMTER SYSTEM 5- PERMITTOCONNECTTOPUBLICSEWERAGEIVYIATERSYSTEM Maugansvil e grc arra Permission is hereby given to: William K. Rieder For Property Located at: 2115 Pennsylvania Avenue, gagerstown, i''ai yianu 21/_4U Owned by: W lllam K. ;Reeder Address: 75 North Colonial Dr., Ha gerstualn, fyi'+ ?� , Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size To Main Line: (: ) Units Other Industrial Connection Fee $620.00 _ Date Paid To connect to a public sewerage/wa(t)tr 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. tater vio. Unavailable r"A r Secretary-Treasu 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 Plumbing In for 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 q Plumbing Board Date FieldOffice City of Hag, 1 WASHINGTON COUNTY SANITARY C TRICT 'ANITARY SEWER LATE':'_ WASHINGTON COUNTY, MO.-ONSTRUCTION nEC(wr-.i Projects Msuoanevi Street (or location): Contractorsjisbon Contractors. Inc. mgr+cin rola �e r MH '. Q TO MH 6 So c/ Date Installedv)--7-104 Wye Ste. On Main O+g3.5 R -F_ WYE 51ZE— TYPE DEPTH TYPE --EXC-AV LAYINV TYPE-EIPE C.O.LATERAL LENGT; LENGTH *Hors.• Total 9-113 VF Stud. Zfd,ZO�F 251<oLF NOTES: Drop 01 Depth of Cleanout �9,1E5Flow Line .� Cleanout r� om Laced IJ'A Basement Service �- 5TA - 0+ 03.5 k -r. 6- •25�ub 4�p f Amounts /pertaining to work completed this period, reviewed and approved. By Wil/' _ � ► �,� ._ r � ✓��G_� nspec or on rsc ors Rep. v i q �o Jia OL 60 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 13!50.6Contract No. SD15- 3-S Property Address: 244J Pennsylvania Avenue 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. MH SD15-619 10"FORCE MAIN 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. nnI Date: $ 3 l!t r Owner Owner Attest: • Attest: ` Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56