HomeMy WebLinkAboutLat_13512PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 )301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
616
DATE 4/24/85
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM MauganSVi I Ie/QrCfldrd M1l'lSl
h b t Charlotte Fizer
Permission Is ere y given o.
For Property Located at: 2123 Pennsylvania Avenue �12
Owned by: Charlotte Fizer Address: 2123 Pennsylvania Avenue
Type of Connection: To Service Connection
Type of Service: Residential X
Commercial
Meter Size
Connection Fee
To Main Line:_
1) Units Other
Industrial
620.00 ,_ Date Paid
4/24/85
To connect to a public sewerage/ViXthr 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.
Water AccountVo. 0-15-%335-%
Secretary -Treasure
Building Permit No. ��
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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 1 Plumbing Board
Field 1 Office 1 City of Hag . 1
WASHINGTON COUNTY SANITARY [
WASHINGTON COUNTY, MD,
Project: Mauamnsyi
Street (or location):
tRICT 'ANITARY SEWCR LATE'.:
CONSTRUCTION nECovi.,
gd Hi la Sanitary Sewerace Collection Svstss
3� !"�� PEUrsYL✓ANlA �✓s • ` C►-,�rllJ Fizz r .
Contractor: Lisbon Contractors, Inc.
I
MH 6 0&T 0 MH &/9 ✓
Date Installed Wye Sts. On Main 2+42— R�_
6"x6"x 8' 1C"6Drz0& calms.
NOTES:
.
T
PVC I $,2(o Vf I Std. I 22,0o LT=
Drop
Depth of Cleanout 8, *Flow Line
Clesnout V7, vS' rommmA�"m;
L a y a d • 9"0 x
� Basement Service
C srA •Zt421Z'r,
Do
irz.• Total
19.0$ LF
40 ♦ ors•
= I 619
••75�ub c;�p
r
Amounts pertaining to work completed this periods reviewed and a proved*
BY
Inspector contrac ors Rep.
W
,►
C)4NER
OW
C"ll
60
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
13150-
Contract No. SD15- 3-S
Property Address: -24-2.3-Pennsylvania Avenue
MH 618 to MH 619 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.
MH SD15-619 10"FORCE MAIN-,,
12 W —
llril I ' '
� 78�
(2123) I `+ 7V
e�( )
W
3 W
cli
VJ \
Q
G �
8" SAN.
P— . —
U
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.
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Owner
Owner