HomeMy WebLinkAboutLat_13918PennsylvaniaAvenue'01ASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO. U5
DATE
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWA;TER SYSTEMHiITs _.e/orchard
Permission is hereby given to: ''i 1 c iI a e 1 A Wal lace
For Property Located
t: 2531 Pennsylvania Avenue, Hagerstown, Maryland 21740
a
Owned by: vi i c,h a e I A. Wa l l a c e
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 2531 Pennsylvania Ave, Hagerstown, MI) 21740
X
To Main Line:
Units Other
Industrial
Connection Fee $620.00 Date Paid
10/8/85
To connect to a public sewerage/%AXgr 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 No. Unavailable.
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Secretary-Treasu er
Building Permit No. P(,A`
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 Z �/�
Plumbing) Kpector
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 i City of Hag. 1
WASHINGTON COUNTY SANITAR�O"ISTRICT
WASHINGTON COUNTY, MO.
Project: Mau4ansville Orchard Hills an
SANITARY SEWER LATE'---
CONSTRUCTION REC(ii;O!
13� 6
Street (or location) : 6A B/7 f,Pnn���/vunu eve
• Con1•rsci•orn Inc ---
Date
Contractor.Lisbon Contractora, - �-
Date Installed ZI�dYBd-
MH (075 TO MH (,7(
Wye Ste. On Main o4&Z.6,0f-
Wrt 51 LL— ITrL uLri n �r� �..�.,�.
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTtI
6", rDez&avc.. G'J-DeCC� *Horz.= Tot
PVC. ABV. F. S t 1 d .
*Slope+ HorZ=Tota
Drop fS.O�.F q.34t/v.7�=>9.0q�.�
NOTES:
� I
(o" S DRZ(e PLS
•.q.16'S{u6'LCr-r'
i
L�5' C3enc1� I .
Depth of Cleanout 4.681/F. ®Flow Line
Clesnout 14' From 4-- m4lAj -
Layed 0.5 %A/'e,Drop
NU Basement Service
MH# 675
G.O. .
A.'51ub6:Cop ..:..
Amounts parts -ng to work completed
BY 'W-"
WJC D Inspeiftor
icnv-m i.ir Sf _el
X50
MH# 6 76
this period, reviewed and approved.
A t � 'F_ - i 1 srXKo
Contractors Rep.
33Z
Washingt— County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
13 51� Contract No. SD15- 3-S
Property Address: 2. ' Pennsylvania Avenue
MH 675 to MH 676 DWG #601-332
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.
H SD15-675
8"SAN
IIt7l 1 ZZ7-�' - - - - '
I 5 (253 (22531 ? 8
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IwC0l
ao
LLI o
Li
Vm I I
a m (2 ) (2 7)
0~�I / -��
a
Iw
law ,
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.
r
Date:
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56