HomeMy WebLinkAboutLat_13828PennsylvaniaAvenue'WASHINGTON COUNTY SANITARY
� DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (3017791-308313084 DATE
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PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT
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Permission is hereby given to: ✓V�L
For Property Located at:
Owned by: Address:
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 seweragelwater 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.
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
Plumbi Inspector ___A7
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:
DISTRIBUTION: Permitt
Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANITAF OISTRICT SANITARY SEWER LATE,',
WASHINGTON COUNTY, MO. CONSTRUCTION RECKi".
Project: Mauaansvi
Street (or location):
Contractor:- Lisbon Contractors, Inc.
Date Installed _H04,54(_
MH v?_' TO MH 6073
Wye Sta. On Main 0f62P2T.
SIZE
-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE---
LATERAL
--EXCAV.
LENGTH
L A
LENGTH
(,„.5D2 2617V6.
(0, 0rz_ z�
* Horz.= Total=
St'd.
*slope + orz= o a
Drop
19.30L
(.00tl4,(o(o=ZD.(o6L•F
NOTES
i
H4i�.1
i
i
i -� Co S Dr- ZG W.C_
d.5
Depth of Cleanout 4.07Vc ®Flow
Clesnout �5' From MQ/N
L a y e d 0 4% % 4 k,- prop
A/O Basement Service
MH// w72
Line
MH# X7.3
Amounts per ping to work completed this period, reviewed and,opproved.
BY
WCSD Inspe for Contractors Rep.
�cc.�1c� co�JY fo ��rnc% c�ril� cry
fo a-Ffc-rc �Oi' lacox- �7� r/Q�/�
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
�>qag Contract No. SD15- 3-S
Property Address: E1 Pennsylvania Avenue
MH 672 to MH 673 DWG. #601-331
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.
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:
Owner
Owner
Attest:
Wash. 4C--JSLan`?itary District
(Form WCSC-1)
Replaces Form WCSC-56
1 /�
-_ C��/b
G b�3
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:
1)1,e (. s .} -4,,C
/
`,, `bPja,,.) the exis 1"'D CT
gYI0 Aa- �1e "[no..,t 5` gin ; e in ropeTh ^c,
Address_ 244/ P nnc✓fvcw.,'t A)f
Signed__
4 Property Owner
Date— _. l 2-/ 28 ZGJ
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
i Re: Maugansville/Orchard Hills Sewers
J 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. Inspector .
Date 1 14:461