HomeMy WebLinkAboutLat_13831PennsylvaniaAvenue:iHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE Ma t c C1 4
P.O. BOX 571
SUBDISTRICT No
PERMITTOCONNECTTOPUBLICSEWERAGE/WATER.SYSTEM MaUganSvi l le/Orchat°d
Permission is hereby given to: ,y U r'iii d fl ti.
For Property Located at: 2500 Pehnsylyania Avenue
�r, 1,
Owned by: i`�O(i�icttl 4` -i')I r Address: `500 Pennsylvania Avenue
Type of Connection: To Service Connection To Main Line
Type of Service: Residential
Commercial
Meter Size
°) Units Other —
Industrial
Connection Fee $t;20 - IAti Date Paid
To connect to a public sewerage/Wgtdr•.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.
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PA -11 -INA
Secretary -Treasurer
Building Permit No. Ad
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 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:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANT TAR,�+►.pISTRICT
SANITARY SEWER LATC+0;'_
'� CONSTRUCTION RECfii21
WASHINGTON COUNTY, MD.
SD15-3-S
Project:, MauQgnsviIle/Orchard Hills
Sanitary
Sewerage Collection System
Street (or location G �1 I 9 D7
13 �S'� i
o P' Q v E k.'.) - � .J , S �'1 af1c, r .
-
Contractor: Lisbon Contractors,
Inc.
MH 65-d TO MH
Date Installed lo - /`?-83
Wye Ste. On Main ofef.4 Fir.
Y Z _ YPE VEPTH
-TYPE
EX AV. AYING
SIZE TYPE PIPE C.O. C.O.
LATERAL
LENGTH LENGTH
*Hort.= Tot
g"�C(o" 6'Si�R 26 ",oI�G. lo.lr 1/F.
St'd.
Tee F'V.G
TS10;"T rorMotal
Auk- T--) IP into rzoC_K�
Drop
!6 • � L • F•
+ 9 = 15.5Tof41
NOTES: -7
CLR fll
4'
� ,.Z'S-rva ti CAP
6'xG� TE
Depth of Cleanout •!o ®Flow Line_ .....
Cleanout /3 ' rom 7- N74i>u
Layed ® 2 ACTH R OROP
A/O Basement Service
.5TA . 0 +5i .4
MH#6-57ro
2' -rue
Amounts perti ining to Work completed this peri od, reviewed and approved.
BY
WCSD Ins ctor Contras ora Rep.
r r -.m ur .r_A 1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
t Contract No. SD15- 3-S
Property Address: �� Pennsyl van; a Avenue
Place an 'X' in
owner wants the
property. Place
the sketch below to indicate where the property
service connection (lateral) to enter the
a wooden stake in the ground at that location.
---- i i t N \L -N _... \.: \ - V 1..
N ' S DJ5 - 6-5
-----�-8 SAN:
901
(2500) r
1
Y 12
CO
(� SL
f
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 dt or near the property
line.
Date. c, J / w —
Owner
Owner
Attest: %j -r ,!:�j 15G
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56