HomeMy WebLinkAboutLat_13904PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
iii W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: IV -1
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
To Main Line:_
( 't) Units Other
Industrial
Connection Fee `' — Date Paid
PERMIT NO.
DATE
SUBDISTRICT
To connect to a public sewerage/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 RESPOW
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: Inspector
Date Z –
'-C
Plum g Insp
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: Permittee Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANITA/ DISTRICT SANITARY SEWER LATE,',';_
WASHINGTON COUNTY, MO. CONSTRUCTION REC(ii""
Project: Mauaansville/Orchard Hills Sanitary Sewers Collection System
j3q
Street
(or location) : ;�rN1T f_3-1Z�y&icn;cr 4ve
Contractor: Lisbon Contractors. Inc.
Date Installedq;-f,;�� �
WIL JILL— ITF'G ULPIM TrPL
SIZE TYPE PIPE C 00 C.O. LATERA
&"50226PV.C. &-5ccz
Pvc.. 5.40V. ;=. S t' d .
NOTES: I I Drop
i
MAIM
G s ae Z& A -/c - -
3'/e
45° Bend
MH ;,70 TO MH (,7z/ -
Wye Ste. On Maind423A5,-
w."v• Ln I i M.7NGTH LENGTH
*Hort.= Tot
"Slope+ MorZ=Tota
�9.30L.F. Q.Q4-j- 010. 19.o4L.F,
2'S-l�ub Cap
Depth of Cleanout 5.`iOV.Ar. ®Flow Line
Cleanout 15' From 4 HAW
Layed ® -1 dr-T•CR DeoP
No Basement Service
MH#>>3
MH# X74
Amounts per ning to work completed this period, reviewed and approved,
UCSD Inspe for Contractors Rep.
Ir...._ AN
�+5 � f4A°'2 PC,,PA1'Y1PNk
$Pohl Gni
W
Property Address: 2-a� Penns
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15- 3-3
lvania Avenue
ISH 673 to MH 674 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.
BSAN MH SD15- 673 g" cAN
i
;'ti
42
I Xx
PERMANENT
ACCESS
EASEMENT r -
I I I SEE DWG.
IBB- 620-029 0 i
I I �J� �L�
(2 ) 812 I
D (2503 )
�l 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 oirner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District a or near the proper
line.
Date:
Owner
Owner
Attest: XS
Was -h- Co. Sanitary D'strict
(Form WCSC-1)
Replaces Form WCSC-56
WHIL IUU� 'po
WERE OUTe.
�o� �?�r`� c�
M
FROM
PHONE an lvZLL
(Area Code) (NUmber)
TELEPHONED [� PLEASE CALL LJ
WILL CALL AGAIN WILL BE IN [�
MESSAGE ,
CARROLL and CLITES
732 N. MECHANIC STREET CUMBERLAND, MD 21502
PHONE 301-724-4490
EQUIPMENT & SUPPLIES
FOR THE
SURVEYOR ENGINEER DRAFTSMAN
PHOTO ENLARGEMENTS & REDUCTIONS
OF MAPS & PLATS
WASHINGTON
33 West
COUNTY SANITARY DISTRICT
on Street, Hagerstown, Maryland 21740 a (301) 791.3083
To: Lisbon Contractors, Inc.
RECEIVED
V` ASHIIVGTC,3 COUNTY
SAINII.` rlt'tY COr 6111-�I N
_ uIQ 13/ 9, .
Is�Sf'c.CiC`f? C� E
I hereby request the contractor to install the lateral in
accordance with the following conditions:
ITL' A,1 /'envy
Address_
Signed .a'
roper yOwner
Date
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
F