HomeMy WebLinkAboutLat_13827PennsylvaniaAvenueOt
WAS
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33 w. *Asr
P.O. BOX 571
�MINGTON COUNTY SANITARY DISTRICT
STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 191-3U63IJUM
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVXPAT" SYSTEM
Permission is hereby given Mr. John H. Hopkins, Jr.
lauaans�
PERMIT NO. 659
DATE June 4, 19253
SUBDISTRICT 40 • 15
hard Hills
For Property Located at: 2444 Pennsylvania Avenue,_Hagerstown, Maryland 21740
John H. Hopkins, Jr. Address: 2444 Pennsylvania Avenue, Hagerstown, -MU
Owned by:
Type of Connection: To Service Connection �` To Main Line:
Type of Service: Residential
Commercial
Meter Size
Units
Other
Industrial
Connection Fee $020.UO — Date Paid June 4 1985
To connect to a public sewerage/wWRr 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
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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: 79 -3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Inspe 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
Date
Field i Office 1 Eity of flag. 1
WASHINGTON COUNTY SANITAR ISTRICTSANITARY SEWER LATE!::
WASHINGTON COUNTY, MO. �` CONSTRUCTION REC(ikl"!
SD15-3-S
Project: Mau4ansville/Orchard Hills Sanitary Seale_ raQe Collection System
• 13�a� -
Street (or location) : U ' _ �� ' r Cv iG J,-4
Contractor: Lisbon Contractors. Inc. _
NOTES: 4L -L-
C-�OUNt 'y ---
Drop
B"•x (V " Tec
pe + rior
?`e L"AVG,
2'srur��,Con »Zz6 _
Depth of Cleanout '?-Ca 1!r= ®Flow Line
Cleanout '7L -.F. F'rom4. MAN. .�
�
Layed 0 � % LpWL►tv(�.
Yes easement Service �P
p2'srum'ECAD
BEd •
OV T. 1-br+in lane
MH It G:57¢
M H # 6s, r..
Amounts per ng to Work completed this period reviewed and approved.
8 Y `' -- Gc. C4
UCSD Inspe for Contractors Rep.
(Form WCSC-4)
MH 6--5 -V-
TO MH &�Q; ✓
Date
Installed
to - /r1- 63
Wye Ste.
On Main L -r.
UYE
SIZE-
TYPE
DEPTH
TYPE
EX AU.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
6--)C(0,r
6„ 5 D 06
„A7vG.
9'6
*Hort.= Total
Tee-
PI/.0 •
Stud.
12.8 L.F.
g.75 L F=.
NOTES: 4L -L-
C-�OUNt 'y ---
Drop
B"•x (V " Tec
pe + rior
?`e L"AVG,
2'srur��,Con »Zz6 _
Depth of Cleanout '?-Ca 1!r= ®Flow Line
Cleanout '7L -.F. F'rom4. MAN. .�
�
Layed 0 � % LpWL►tv(�.
Yes easement Service �P
p2'srum'ECAD
BEd •
OV T. 1-br+in lane
MH It G:57¢
M H # 6s, r..
Amounts per ng to Work completed this period reviewed and approved.
8 Y `' -- Gc. C4
UCSD Inspe for Contractors Rep.
(Form WCSC-4)
A, �pY to ocvr►✓
l/ z/to
int%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
{3g a-' Contract No. SD15- 3-S
Property Address: Pannavlvania Avenue
ISH 654 to ISH 656 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.
V�
gyp. /
� v
MH SD15 655
(2 )
CP
�y C(2-444
\
g_QJ,S_ X54
� S�EPAGc
7 S�P-n PIT
s -A,,
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.
Off.✓ Or�3�/��cs/1,
Date:
Owner
J
Owner
Attest:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56