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HomeMy WebLinkAboutLat_13821PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 542 33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571 (301) 791-3083/3084 DATE �} � � ,�� ! 6 � P.O. BOX 571 SUBDISTRICT No. 15 PERMIT TO CONNECT TO PUBLIC SEWERAGEMAIE8 SYSTEM Maugansville/©rchard Hills Permission is hereby given to: L. H. S h i, -.f f I e 1 ' For Property Located at: 2428 Pennsylvania Avenue Owned by: L. H . Sh�ifflett Address: 2428 Pennsylvania Avenue, Hagerstown, .MD Type of Connection: To Service Connection _ " To Main Line: Type of Service: Residential X _ ( Units Other Commercial Industrial Meter Size _ ____ Connection Fee X520.00 .__ Date Paid 8/ 18f b5 To connect to a public sewerage/xmte.T'-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 Account Unknown Secretary -Treasurer' 2A 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 s Plumbing Insctor 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: Permitt Plumbing Board 3 Date Field Office I _ City Of Hag. -- 1---- WASHINGTON COUNTY SANITAR;0�DISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATEP 40"4 CONSTRUCTION RECOk S015 -3-S Project: Mau4ansville/Orchard Hills Sanitary Sewerage Collection System I i Street (or location) : T 7 6n= DENS/- LIVE) L Contractor: Lisbon Contractors. Inc. MH6zd JO MH 6_-'57:9� 1/ Date Installed /o- Z�5-6_�3 Wye Ste. On Main /4-rJ8_H-Ness - U toy " WYL JILL— 1 TIL LPL 1'1n 11r'%_ #. na.nv. &.nIanu 3IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH &o Zone z6 6115020(, q.75 V. 0-� *Horz.= Tot c.1o1w1un►1tF'�7916pe+ nofz= ota. Drop 22 F' 9't iz.zs= 2�• Z5�•`• NOTES: 2' STur� �'• CAY� Depth of Cleanout q 7� ®Flow Line Cleanout 1&.. From -it, L a y e d® 2 % AFTER ORo p Ad CD Basement Service. MH#yr�¢. Amounts pe dining to Work completed this BY WCSD In pector (Form WCSC-b) +78 =o+oo �� � NA1u uu�c 0.5' l=6Nc.e 1 � Z'SfV64 CAp' period, revie ed and apprLed. Contractors Rep. 2 AdMk Washii,, -on County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: 2.&21[ Dennsyl pan;a Avenue MH 6Sc; Tnr, anal DWG. #601-361 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. X /7ti0 S7'/JM E w e 7-61 B z- U iE: /--c ACr / S 7 Y- O 2 & ) S -v u Tib 0,c Lo EASEMEM NT SEWER T SEE . Pxd-,04'Y t)RN7- S �F_ Lo 4 .-J �� c?T Olt) t'iNf e l y 8' ✓4- ,g E. c a c .� G� ou.✓� �q -' 8 8 7 (2428 ) (2) o. ..- PAH SD1 655 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 neer the_p; c;pertyy line. ' Date: 9 /Z-- _ - Owner - —. Owne Attest: , '733-93 3 Wash. Co. Sar' ary District pt4d )E = �`���''��_ (Form ECSC -1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 a (341) 781-3083 To: Lisbon Contractors, Inc. 1, O Horn= 733 4353 pf=�tG` 791. 9 9? 1 Address -.2&&" Signed .S. , —� PropetV Owner Date �-9'-,/Z $ 3 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S 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, Inspe Date V 1 I hereby request the contractor to install the lateral in accordance with the following conditions: RE. MOW- ON 9,P-c7T[0A) Cb191,V L/,vis r-eAX,!f /9,VD /0-eAc,,9e,L 77J 6doD aR 9A-77-4FX Pe-/emecSio,d 6-/2!9,l7W47 77-b a wHire 4)doo eoS: S f*•W ov2.4Se 13VSH /9NI,) r-pPsyTtllA (cifr 'o Td !3E /DLAe� Ci4T c 6 � o? N_So�!_H 6ti �ieof;�Ty edX-A,-P- , 19 ND /o1y eG,J.v4:-=-C-nd,•c/ WHit(d 4J!cc tsr S` (�L`SrD" PP-ol'�Prr L I ,(� 7b Dip Tld a f= 9' e& N B C c. q„w G-'('_ o u'yp 4 -g - ye C 17XO P&P 7Y O W AAQ1C w/Lc, XZ M o VZ 0,4[ 45 S e cTz d d a r' F E,U c4F-, IF X12 ; 1 .-= / 0 i,V! (" I "J e . 1, O Horn= 733 4353 pf=�tG` 791. 9 9? 1 Address -.2&&" Signed .S. , —� PropetV Owner Date �-9'-,/Z $ 3 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S 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, Inspe Date V 1