HomeMy WebLinkAboutLat_13835PennsylvaniaAvenueri )HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
(301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM SUBDISTRICT
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
To connect to a public seweraget-Water 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: 79 -3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Ins p 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
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permi
Plumbing Bo
Field Off
WASHINGTON
COUNTY
SANITARY 'ISTRICT
SANITARY SEWER LATC','
WASHINGTON
COUNTY,
MO.
CONSTRUCTION RECfii%,;
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection
Street (or location):_ 0c--WEx;2, I:—�yA1 10&7 P T
rnSUA I �rl�vc
Contractor:—,Lisbon Contractors. Inc. F.c-y�rnc-"A :5brc��✓
.�..�
!'1H (03? TO MH G=Date Installed Wye Sta. On Main 1t5S L+.
WIL JILL- ITPL DEPTH TYPE E XC AU. L AYINC
51ZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
*Horz.= To
�510pe+ Horz=To
NOTES:
Drop 18 L 41St X1.9 = 22.(0
_ �_ GaouND
AS- BOuA
L-�4-5" 3EA�p
1 T 2'STUe, fiCAP
16`3r>R 2(0
Y epvwc N
10"'K6" WYE.
Depth of Cleanout �•(C' ®Flow Line
Cleanout ice'rho mAA) i ---
Layed ® t5 % AFTE=R pRbf�
tln) K No (N KI Basement Service
MH#
G38
MH#
Amounts nifrtaining to Work completed this period, reviewed and approved.
8Y'
nspector Contrec ora pop.,
�r�.�, i.ircr—A)
5a
Ate"
E;a
C.vot
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##1
.�� 3� Contract No. SD15- 3-5
Property Address: _ -ennsylvania Avenue
(03 r 63�
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.
f
1067 f
� I =
I1 Q it1 M
co
OD
� �
io If SAN. - LLJ W
MH SD15-638 (n
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:
Attest:
&4Y,4o/vp BR�w R
Own_ e r
Owner
Wash. -Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
i 11
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address L z� -
Signed*-�7roperyy
r
Dater qse
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. Inspector
Date