HomeMy WebLinkAboutLat_13516PennsylvaniaAvenue�VASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 9hc,
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 4I 3/60"
P.O. BOX 571
I S DISTRICT ISO. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE0=0 SYSTEM MaugZaT1sVl e70rc aff-d--H-11Z.s
Permission is hereby given to:
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For Property Located at: 2201 Pennsyl-van!. a Avenue 13�11D
Owned by:
eDayid H. Barr Address: 6 Rowlanu Avenue, Hagerstown, MD
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
n
X
Units
To Main Line:
Other
Industrial
Connection Fee `p 1 , 240-00 ._ Date Paid 4-3-85-
To
-3-85
To connect to a public seweragelsystem (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.
PaQ-r� � . a . I . 'n �
Secretary -Treasure / 401 4
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 Ins c or
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 1 Plumbing Board 3
Date
Field 1 Office 1 City Of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, M0.
a
Project: Mauoanei
Street (or location):
SANITARY SEWER LATE'."-
CONSTRUCTION RECni,M
Contractors Lisbon Contractors, Inc. J ln'luV- w
INH (o ► 8 To ISH 6 1 9 ✓
Oat• Installed 5-6-" Wye Ste. On Main 1+9Z f-34.
..
SIZE TYPE- P
0 LATERA
•
LEN TH
LEJGT11
s Ae �a• �oez� Pvc..
•Hors.• Tota
10151 vF Stud.
ors• o a
Drop
2, so r 18,50:r-
8,50=NOTES:
NOTES:
Z 3.30 I -F
2,1,00 LF'
14AIU
3
45•
1.0,5% VF
S-
2'5ki b
Depth of Cleanout !o•slorlov Line
Cleanout ►8,2-7' row -t- ......
Loynd 4..2.0--% AFTER D20T-
Ni 8esement Service
PM-
r meq, 11-6'2 er
Amounts pertaining to work completed this period,.rsv..iiewed and approved.
Inspector F,n rec ors Rep.,
.1
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na
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
357LO Contract No. SD15- 3-3
Property Address: 246'I' 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.
__ R/�
SAN:
MH SD15-618
F. H.
IL__
I 782
( I
3 (1.
N {1
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: 5 A, 3 —
Owner
Owner
Attest:
as U. Co. Sanitary strict
(Form WCSC-1)
Replaces Form WCSC-56