HomeMy WebLinkAboutLat_13908PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
f P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: U s H a i � W. i o r i n �:
For Property Located at: 2511 Pennsylvania Ave., Hagerstown, Mary i aria 2 i 141,
Hagerstown
Owned by: UQrIald W. Horine Address: 2511 Donnsylvania Ave.larvrand 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620.00 Date Paid
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.
Water .Account No. 0-15-7095-1
Building Permit No
4�wlaA
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 Ins for
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
Date
Field Office -
WASSINGTON COUNTY SANITAF DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,,
CONSTRUCTION REC(
Project: Mauoansville/Orchard Hills
Sanitary Sewerage Collection System
.—
i 3
Street (or location): ,,Ar
5l4 �W )C--'e,7n5"nia
Ave.'
Contractor: Lisbon Contractors. Inc.
__._
_
p pro` .N.�7�
MH (071
TO MH 270 ' RT
Date Installed 2/1048�L
Wye Ste.
On Main OY'-00 C
SIZE-UVE
TYPE
DEPTH
TYPE
MAV.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
p2 Z&
(O"SOieu�
*Horz.= Total
Coju m rO
P.VG.
P.�(G.
C), -V y
St' d.'951
ope + Hz --Tota-
Drop
NOTES:
"
Mal
p%G .
2.25010 2'SEu64 Cap
15� I
Depth of Cleanout 9.44Vr. ®Flow Line
Clesnout f5 Fromt= HAW
Layed 0_ 2.27 %
Aor,,�cE Basement Service
MH# MIi#G74
Amounts pertaining to Work completed this period, reviewed and approved.
UCSD Inspe for
( r n r m i.irSr-a 1
Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1 nda Contract No. SD15- 3-3
Property Address: 2 Pennsylvania Avenue
SIH 674 _ _ LAIMAZ44, labra 941jaoo 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.
I- 6 4 g" SAN. MH SC15- C75
D
k 30'
z
0
W.
ow
Q LJ �l
i U) OI
x
W N
6[4 (2 . ) a m
( 2511) I I (2 ) t,- m
W coz
x �o o I I Q a
w w
�
II T.B. . 48
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.
Owner
FL�EcIUc //of?/,JC --
Owner
Attest: '
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56