HomeMy WebLinkAboutLat_13928PennsylvaniaAvenueI
WHINGTON
33 W. WAbHINU I VN J I ntt I
P.O. Box 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-308313084
PERMIT NO. 632
DATE b/ I a -
SUBDISTRICT N O • 1 S
PERMIT TO CONNECT TO PUBLIC SEWERAGEWATER SYSTEM augansviile/Orchard Hills
Permission is hereby given to: Jona l d 'Lee S`Lampe ` 4-8
For Property Located at: 25511 P e n n s Y i van ' %9. Avenue
Owned by: Donald ee Stamne.• Address: ".S:)1 Penosylvania Avenuo, Hagerstown. i,,b
Type of Connection: To Service Connection
Type of Service: Residential _
Commercial
Meter Size
To Main Line:
( ) Units Other
Industrial
Connection fee X620. UU Date Paid
To connect to a public seweragelWWgr 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.
Secretary -Treasure ;
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 pector
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: Date
DISTRIBUTION: Permittee 1 Plumbing Board
Field ) Office C i -i y o I ::t
WASHINGTON COUNTY SANITAR —DISTRICT 4 SANITARY SEWER LATE, '_
WASHINGTON COUNTY, M0. CONSTRUCTION REC(ii'I
Project: Maugansville/Orchard Hills Sanitary Sewerage Lollection System__
i39a'
Street (or location) : GQz e23 - AerzrmlIva nia Ale-
Contractor:
le
Contractor: Lisbon Contractors Inc. ---
Date Installed �,1 e,4
MH 67, TO MH (,7G
Wye Ste. On Main /9.5
SIZE
6k6 X16'
LENGTH
*Harz.= Tot
Depth of Cleanout l3.d-1VF-. ®Flow Line
Cleanout 15' �F/rom�Maaj
L a y e d 0 3 N d FTER Dec)P
• „ICO Basement Service
MH# MH# �7
C.0.
2:51ubE--
Amounts pert "ihing to work completed this period, reviewed and approved.
BY
I/UCSD1 Inspector Contractors Rep.
(r--- 11rC1-._A%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 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.
DMH S015-676 y MH SD15-67
8 SAN
Z
2 CD
{ > w
i No
wo
W m
f(25I I (85y ) 823 824
(2551 ) (25-575X W
z 4,
I�N
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. %D a v �
Owner
A:) 4,jt� 0 -)1 a4P,K
Owner
_ Attest: - �✓
WasF. EV. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
001"'
uffla` toxo
WASHINGTON
1,
b75-4-7(.,
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
7
'X/S
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
N Address 25SI
Mr. S►1ti�� Signed
1(o rope y wner
Date 4J3 29 V
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 0
Date