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HomeMy WebLinkAboutLat_13923PennsylvaniaAvenue"',;WY,"iz'',yip'p+`a'.'rfi'��''�-5..'uaz'*s,�,`",, Af A- HINGTON COUNTY SANITARY DISTRICT PERMIT NO. 4U _ ''33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 DATE J PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: Mickey L. Free SUBDISTRICT No • I'5 - i-,laugansv i 1 1e/Orchard i -i i l 1 s For Property Located at: 2542 Pennsylvania Avenue 13423 Owned by: Mickey L. Freeman Address: 2542 Pennsylvania Avenue, Hagerstown, �_• Type of Connection: To Service Connection Type of Service: Residential Commercial Units To Main Line: Other _ Industrial Meter Size _ Connection Fee $620-00 — Date Paid 2/20/3,5 To connect to a public seweragef*Atkrsystem (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. wal"er N;.cour4c .yU. Unknown, Building Permit No. ­­ & �-, , 0 CIA AM0, 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 Plumb' 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: Permittee Plumbing Board Date Field Office City of hag. I WASHINGTON COUNTY SANITAF DISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATEO.': CONSTRUCTION REC(ii;;! Project: MauQpnsville/Orchard Hills Sanitary Sewerage Collection System x '7a --A, Street (or location): !,'Al Pe Contractor: Lisbon Contractors. Inc. hi cofu Date Installed dHo�4 6't- MH 6,103 TO MH (0 Wye Sta . On Main ffG�B.3 Rr. SIZE TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH A LENGTH X(o X 8 �D122� Pvc,, (0••50226 569V•�. *Horz.- TotaT= PVC . St'd. TS1ope + orz= o a Drop :5.3 3 -t 11 . 63 = A,,96C.x� NOTES: i .►6aCap Depth of Cleanout -5'69V F. ®Flow Line Cleanout 15 From4--Mg/kJ Layed 6 7..f 44er Drop • NO Basement Service MH# &,-3 MH f�.'�_ Amounts p, taining to work completed this perind. reviewed and approved. BY UCSD In pector Contractors ep. (rnrm ljrSr'_A) Nws� coPY © '00 (Olt Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 13 i Z, Contract No. SD15- 3-S Property Address: 2 Pennsylvania Avenue 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. IELD, — _ 8" s I TD DMH SD15- 664 t `r� — nRAIN FIELD 4 i I I *NOTE: CONTRACT SEPTIC T. CONSTRU SEE EASE OF SEPTI 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 ox.,mer's connection to the lateral and to prevent damage to the cleanout which will be installed by the District at or near th property line. Date: 6�' — Z -- g, 3 er 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 Glu tlL- 679 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: i Addressli Signed,�� z«� Property Owner Date '/C'111// y�� 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 Du)L "Ilp Date