HomeMy WebLinkAboutLat_13906PennsylvaniaAvenue,WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
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
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 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 'S
Plumbing In ector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
DN -SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
al Inspection Made By:
RIBUTION: Permittee Plumbing Boa
Field Office
Date
WASHINGTON
COUNTY SANITAF_ DISTRICT
...R SANITARY SEWER LATE',':
WASHINGTON
COUNTY, MO.
_EXCAV.
LENGTH
CONSTRUCTION RECONOr.!
Project:
Mau4ansville/Orchard
Hills
Sanitary Sewer8Qe Collection System
179
Horz.= Tot
Street (or
location):
CA 8/3
f5C7- Pernnsy/varus Ave. lull-
llContractor:-Lisbon
Contractor:-
Lisbon
Contractors.
Inc.
MH &73 TO MH 671
Date Installed
/I t10464-
DropI.30L.F.
Wye Sta. On Main �f26 Rr
Y
SIZE
-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
_EXCAV.
LENGTH
LAYrNG
LENGTH
8"x(o'z 8
VSDE Z(o
6.34V.r
179
Horz.= Tot
pvG .
�
St d.
/
DropI.30L.F.
ope + or7-Total
NOTES:
Depth of Cleanout &•34 V F. ®Flow Line
Clesnout /5From t__ mAlm
L a y e d 0 r1.7_ .d. kr Orop
ti�r_? Basement Service
MH#,, 73
MH#6?¢
it C.0
Amounts pertaining to Work completed this period, reviewed and approved.
By
D In pector Contractors Rep.
__--_( rnrm urSr_a )
0
C,u0-
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No SDI r5- 3-S
I370(s
Property Address: M*6 PRon�_yania.Ayenue
MH . 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.
8" SAN
MH SD15- 673 8" SAN.
r� 7
�j�/ 42
XX PERMANENT
ACCESS
EASI I SEES DWGPO
T o��I
I
68-620-029 0
i
((2 ° I 1813
I
(A) �(2, 3) � 7
I�
Oil o
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:gi
ner
d /iA
0 ner
Attest:
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
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Ad
Si
Da
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:
Tr -
Requested by Lisbon Contractors, Inc. 4y
Approved by W. C. S. D. Inspector
Date