HomeMy WebLinkAboutLat_13807PennsylvaniaAvenueNASMINGTON COUNTY SANITARY DISTRICT PERMIT NO. 72!
33 W. SHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 7� 5
P.O. BOX 571
SUBDISTRICT No. 15 -
PERMIT TO CONNECT TO PUBLIC SEWERAGEMATER SYSTEM hi a u y a n s v i 1 1 e/Orchard
1y� iii:ls
Permission is hereby given to: T WLenWan 1
For Property Located at: 2412 Pennsylvania Avenue
Owned by: I W I ohman Address: 2412 Pennsylvania Avenue, Hahecsiowu
Type of Connection: To Service Connection X
L
Type of Service: Residential %- ( y ti Units
Commercial
To Main Line:
Other
Industrial
Meter Size Connection Fee XS1111xQu _ Date Paid 77 /,�4-
$1,240.00
To connect to a public sewerageA"iWXsystem (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.
Water Account No. Unknown
PaL-�� Q . A I CAA VQ01a
C�
Secretary -Treasurer
Building Permit No. / - 0.
d,,ok
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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing I ector
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:
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field 'i Office 1 City of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE+
CONSTRUCTION REC(ii r
SD15-3—S
Project: Maugsnsville/Orchard Hills Sanitary Sewerage Collection System
/"307
Street (or location) : CA Tf"666 A/. Avg.) L� 1ma
Contractor: Lisbon ,Contractors. Inc. .
2'- rue e"ej
�3WER
b" 35 t o 26 ADAPTOpi
SD1Z 3S
L` f5
Depth of Cleanout 5.97 Q Flow Line ._
Cleanout 1.5 rom sCwcR MAIN
Layed ® 2 % AFTER 000
h/O Basement Service
ICS•' 3DR --Ujs
MH# G3S
Z -►3'1 4 LT.
MH#
Amounts per Hing Work completed this period, revis d and approved.
BY
UCSD Insp c or Contractors Rep.
(Form WCSC-4)
MH 1035
TO MH
Date
Installed
is-Zd-83
Wye Ste.
On Main 2437.i L-7-
Y
SIZE---
TYPE
DEPTH
TYPE
EX AU.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
/011x G"
&•'?DR 0G
e�••sa1CZ(.
59.71/F•
*Hort.= Tot
5rw35
Pvc .
Pvc..
St' d.
ope+ norz=Total
Drop
/8
NOTES:
2'- rue e"ej
�3WER
b" 35 t o 26 ADAPTOpi
SD1Z 3S
L` f5
Depth of Cleanout 5.97 Q Flow Line ._
Cleanout 1.5 rom sCwcR MAIN
Layed ® 2 % AFTER 000
h/O Basement Service
ICS•' 3DR --Ujs
MH# G3S
Z -►3'1 4 LT.
MH#
Amounts per Hing Work completed this period, revis d and approved.
BY
UCSD Insp c or Contractors Rep.
(Form WCSC-4)
5a
P)u
Washington County Sanitary -District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
1 3$61
Property Address: -2-� Pennsylvania Avenue
4'S
MH -6-36- to MH- 1-4— DWG. #601-360
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.
s
D
M
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 IZ 3 G1%.. �,Efih ii -9 _.
/ wner
J. Owner
Attest:
W s . Co. Sanita-T District
(Form WCSC-1)
Replaces Form WCSC-56
,WASHINGTON COUNTY SANITARY DISTRICT
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:
,lddress k'//2
Signed
Property owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD1K-3-9
Gentlemen:
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