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HomeMy WebLinkAboutLat_13910PennsylvaniaAvenueNGTON COUNTY SANITARY DISTRICT PERMIT NO. 550 33W WASHINGTONSTREET HAGERSTOWN, MARYLAND 21741-0571 (301)791-3083/3084 3/21X85 P.O. BOX 571 DATE SUBDISTRICT Na. 15 — PERMIT TO CONNECT TO PUBLIC SEWERAGE/ WATF—R SYSTEM ^ Mauga�ns-, _=i_1e/®rekard Hills Permission is hereby given to: William H. Shobe `, to For Property Located at: Pennsylvania Avenge, Hagerstown, Maryland 21740 Ownedby: William H.. Shobe Address: 2515 Pennsylvania Ave.. Hagerstown, M© Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size X 21740 To Main Line: ) Units Other Industrial Connection Fee $620.00 Date Paid 3/21/85 To connect to a public seweraget-%=•;: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. Water Account No. 0.15-7090-0 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: 1 — Date _ PIumbi Inspector 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: Permit Plumbing B Date Field Office Z City Of Hag. 1 WASHINGTON COUNTY SANITAR IISTRICT WASHINGTON COUNTY, MD. Ark SANITARY SEWER LATE,,': CONSTRUCTION REC(ii%i Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System ! l� Street (or location) : C/ -JL 8/9 Pena.5gIvo nr*c Ave. Contractor: .` Lisbon Contractors, Inc. Date Installed 3 t4cid 841f, MH (074 TO MH X75 Wye Ste. On Mein U-+57 !,! R T Y SIZE - TYPE PIPE TYPE C.D. DEPTH C.O. TYPE LATERAL -EXAU. LENGTH LAYING LENGTH g.,x6..x8., s�R�i,r?✓.c.. soR2� *Hort.= Tota Pvr . 529 VF:-- S t' d . *Slbpe+ orz- o a Drop >'4.3[ •F, 5=V?q .F. a-944-/2.7 . NOTES 1 Depth of Cleanout 5. ZQ V.F. ®Flow Cleanout 6, rrom 4 --Haw L a y e d 0---z ___% '44er Drop /\10 Basomont Service MH# 0 Line Amounts pert.4ining to work completed BY UCSD Inspe for I r,..-- iit- Cf- _ AN MH# r="'5 r• •-.21S4u b f�(�"Op this period, reviewed and approved. Contractors Rep. � - • S z � 83 r 1A P WK Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 )3 910 Contract No. SD15- 3-S Property Address: 2-�rTF Pennsylvania Avenue _MH 674 to MH 671 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. �.1vin 1 -)u10 -b148" SAN.. MH SL '15-C _) ❑ L.rx4-rfr ,dnou-r k �lo' iti2eM 1?X.� k O 0 LM 30' 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: IZ�19 wner �. Owner Attest: , as . Co. S nitary 0 istrict (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: 5 12. O2orn fg Y L.w G " Address 2515 Ave Signed ' r roper-IlLy uwrfer Date 1219 �$3 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 �7 L'0 - Lti 1" Lc - Date %4-