HomeMy WebLinkAboutLat_13524PennsylvaniaAvenue4
ASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT NO. _
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: :
Units
To Main Line:
Other
Industrial
Connection Fee ij .; 14'j.00 Date Paid
To connect to a public sewerage/water 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 Sp3cifications.
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.
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
Plumbing Insp 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
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
WASHINGTON COUNTY SANITARY L TRICT
WASHINGTON COUNTY, M0,
1ANITARY SEWCR LATV,
CONSTRUCTION REC(IRf,
Project:Msuasnev11e/Orchard Hills Sanitary 5swersas Collection Svstgm
Street (or location) : --a r ie)(v ( 12)5;:.;� q
s,uNs Yc.VANI A A✓f-) 01,6W E, ry1 LkRe r-
Contractor:Lebon Contractors. Inc.
MH Gc�9 TO MH GIB
Date Installed 0-30-S4 Wye Ste. On Mein / *4-2 q4.
w.L
7r
t
01&Los
PIPE,11
JYPE
ITri
ULr1 n
C.O.LATERAL
I TNL
LAt; AV.
LENGTH
LAYING
LENGTH
6"x "A6'
6 "6Dee& PVL
�
*Horz.• Tota
Gf}5T
6.4b5Vr-
St 1 d.
V313pin Horzo Ota:
NOTES:
Drop
3. so+ 10342-
9.42NOTES: 22.92 LF
74Z
I
3,0
/Jjh 45.8ecx1
Depth of Cleanout 6.478 eriow Line
Cleanout !9,92' /row -* w,AiV
Layed 3,0 AFTER D20T-
�= Basement Service
STA • k. _4Z (a:"
6o9 9
G, toe
2'SFu b ' a p
Amounts pertaining to work completed this periods reviewed and approved*
inspector Contractors -Rep.
Aft
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: �3 ? p
ISH 609 to MH 618 DWG. #601-324
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.
NV. 635.3 MH� R/W
— 8"G
COISD15-609 04 ��8�� SAN. '� M 5-618
8„ W e
}�-- — ' -- — R/W
' I I—OD
d
�I I
2 ( 21)
( 5)
i
�I
�I
ti
�OCA'T-c
50
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.
r
Date: (•114Yy 1"l �(��e►'`��c��°� _
Owner
)-VN —" '-,� ?. C) - A-.
Owner -
Attest:
"asCo. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
/ I �-� N
WASHINGTON COUNTY SANITARY DISTRICT
/11
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
/7cL
Address ZZZ I
Signed
Proper y Owner
Date 8� �% 'BY
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re:
Gentlemen:
Maugansville/Orchard Hills Sewers
Contract No. SD15-3—S
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date��'��