HomeMy WebLinkAboutLat_13825PennsylvaniaAvenue#- WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
Y P.O. BOX 571 DATE -
PERMIT TO CONNECT TO PUBLIC SEWE RAG E/w ATER.SYSTEM
Permission is hereby given to: A I be r" L )- - I j;ne
SUBDISTRICT '�0 • i
Maugansville%O"rchard ilis
For Property Located at: L4Ju Pennsyi`dania Avenue j7V25
Owned by: Albey't L. Mliner Address: 2437 Pennsylvania Avenue, =iagerstown. I!,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
- Date Paid
To connect to a public sewerag e/Wator4system (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.
:nater Accounc io. 0-10-6630-4
Building Permit No.
PoJN"AA,
Secretary-Treasur r -
v
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 I pector
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 Plumbing Board
Field Office City of Hag 1
WASHINGTON COUNTY SANITARX._DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATEP"
CONSTRUCTION RECoi�(i
SD15-3-S
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
r �
Street
(or location) . C4�" 88g X:�EA/A/- AVE.)
Contractor: Lisbon Contractors, Inc.
NOTES:
-14.6'
261. AJPT0-R
1AAIU D?o D
Slope + Horz=iota.
Drop
23t-- . �. � Oc-•Ft IO.Sb �•F=Zo.SE
L. F
t
Depth of Cleanout to. Z? V 1: ®Flow Line
Cleanout 14.8' From -#_ MAjn.i oN r�
Layed ® 2 ti q�T�� DROP -conic.waix
• ►y o Basement Service i
T T Z 5• >TUF3£sCAP
MHS#&Sn
C.O.
Ot85•0 RT.
MH#�6S4-
Amounts per i -.to Wor completed this period reviewed and -pproved.
BY %.GS,cX
UCSD I pector Contractors Rep.
(Form WCSC-p)
MH &5--J-
TO MH 655
Date Installed
/o-zi-83
Wye Sta.
On Main of85.Z
WY
IZ -
TYPE
DEPTH
TYPE
EX AU.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
g„X ('„
6"_45D4ZG
02*Horz.=
/O. Z'7V F.
Tot
Tee
Pv.c
St' d.
.
r7V
NOTES:
-14.6'
261. AJPT0-R
1AAIU D?o D
Slope + Horz=iota.
Drop
23t-- . �. � Oc-•Ft IO.Sb �•F=Zo.SE
L. F
t
Depth of Cleanout to. Z? V 1: ®Flow Line
Cleanout 14.8' From -#_ MAjn.i oN r�
Layed ® 2 ti q�T�� DROP -conic.waix
• ►y o Basement Service i
T T Z 5• >TUF3£sCAP
MHS#&Sn
C.O.
Ot85•0 RT.
MH#�6S4-
Amounts per i -.to Wor completed this period reviewed and -pproved.
BY %.GS,cX
UCSD I pector Contractors Rep.
(Form WCSC-p)
Washington County Sanitary District
oplbl SEWER SERVICE LOCATION
A
Subdistrict No. SD#1
Contract No. SD15- 3-3
13�a�
Property Address: _�� panne
LLUani ^ Al/p_nlla
MH 654 to ISH 655
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.
O-
MH SD15 655
885
(2436)
\ J F
CP
s
9z
I� 8
I a \ ( 4 CO
----MH SDI=x-54 -_—_
all cAM
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.
q
Date: ✓��_�� / -
Owner
Owner
_
Attest: / Com- S
Wash. Co. Sanitar i_strict
(Form WCSC-1)
Replaces Form WCSC-56