HomeMy WebLinkAboutLat_13905PennsylvaniaAvenue{
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\N,ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 578
33 . WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE J f
P.O. BOX 571
SUBDIS RICT i�10. 15
PERMIT TO CONNECT TO PUBLIC SEW ERAGEMWVrZCSYSTEM Maugansvillo reharTi S
Permission is hereby given to:
For Property Located at: 2604 Pennsylvania AVenue ��05
Ownedby: '`label N. ho', -s Address: 2504 Pennsylvania Avenue,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
020.U0 Date Paid
To connect to a public seweragelloW 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.
Wa:er Account No. Unknown
Building Permit No.
pak�'�"
Secretary -Treasurer
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 Xpector
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:
Date
DISTRIBUTION: Permittee Plumbing Board
Field Office City Of 'Hag, 1
WASHINGTON COUNTY SANITARY*A)ISTRICT SANITARY SEWER LATE!
WASHINGTON COUNTY, MO. �' CONSTRUCTION RECtii,
SD15-3—S
Project: Maugansyille/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : (dA 663
Contractor: _ Lisbon Contractors, Inc.
MH6c5-6L`T 0 MH 6!57(=> ✓
Date Installed io— ZO -83 Wye Sta. On Main A,-Tr-.e'a77
Y Z — TYPE DEPTH TYPE EX AV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
8•XC"''- ��soRz6 6"SLieZ6 9 V. *Horz.= Tota
7-ELc P_V.C- . - V.G. S. St d,
"Slope + morz= i ota.
Drop
NOTES:�� F .gl ,x/9.37=2dL.F
C-Ppoo ND 'y
a'
z.s•
2,woT ALI
2CAS
Depth of CleanoutVlow Line
Cleanout 10 ' From FP--.
Layed 41 2 %,a�7-2 R L12OJc:>
A/�) Basement Service
MH#k54 Z " WpTER LJ U E / 'IDS
MH# 6z:r
c.0.
Amounts ini to Work completed this perig.4, reviewed and approved.
CSU n pector Contractors Rep.
(Form WCSC-4)
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-S
1 3CT0 �
Property Address: 4 paonsylvania Lague
MH f5-7 to MH 6-58 DWG. #601-338
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.
1 ..
0 3
3
0
W
w
I
I
MH SD15-657
lQ41
8 SAN.
8 W
R/W d O U O
60 R/W
C
The undersigneJ gZ tha the Sanita y District may
excavate an additional five insid the property
line so as to facilitate, and make less pensive, 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: 13 —
Owner
Owner
Attest:
Was . Co. Sanita y s rict
(Form WCSC-1)
Replaces Form WCSC-56