HomeMy WebLinkAboutLat_13938PennsylvaniaAvenue1ASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: 144OA
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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.
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: Date 2 _
Plum , g 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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Off
Date
WASHINGTON COUNTY SANITAP' DISTRICT
WASHINGTON COUNTY, MO.
Project: Mauaansville/Orchard Hil
SANITARY SEWER LATC,','�_
CONSTRUCTION REC(ii2
ry SeWera4e Collec
(3 9'3S I!
Street (or location): (��� � � - P �E,y�vSY�vct�r/y /-(v 44nc A 4 k( Afncu
Contractor: i Lisbon Contractors, Inc.
Date Installed -f NIgy 64
MH �,'7-7 TO MH 676
Wye Ste. On Mein l�o3.5�ir
Y
—
TYPE
---DEPTH
TYPE
EX AU.
LAY
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
Pvc.
*Horz.= Total
Stud.
�Q. 3L. F.
17.00�.�
ope +orz-- a
Drop
NOTES:
Depth of Cleanout 6.49 VF ®Flow Line
Cleanout 115' From e=- ",41&1
L a y e d 0 2
•��;;� Basement Service
MH# X77
Amounts peat ining to Work completed
6Y
UCSD Ins ector
(rnrm ur,;r_at
MH# 6 76
C.O.
this period, reviewed and approved.
�4r-'/ �-,7s/,(,-
Contractors Rep.
L:0-)
Washington County Sanitary District
00111- SEWER SERVICE LOCATION
Subdistrict No. SD#15
L3138 Contract No. SD15- 3-S
Property Address: 2.&fn Pennsylvania Avenue
-1H 677 t- MH 67R 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.
rel
H
MDI 5-678.-'j� r
- - � --n. , 73--� -�--��
� II
825
(2601)
'tom �•./
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 i'
c�wA a Ai AT EY
Owner
Attest: 14 �! /4-s—t—rict
as CCo. Sanitary
(Form WCSC-1)
Replaces Form WCSC-56
I
I '
825
(2601)
'tom �•./
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 i'
c�wA a Ai AT EY
Owner
Attest: 14 �! /4-s—t—rict
as CCo. Sanitary
(Form WCSC-1)
Replaces Form WCSC-56
0%
WASHINGTON COUNTY SANITARY DISTRIC
33 West Washington Street, Hagerstown, Maryland 21740 (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install
accordance with the following conditions:
FIR
3J �
the lateral/ in
R�9
Address_ 6
Property Uwner
Date_ — y
Washington County Sanitary District
33 West Washington Street
Hagerstown, • Maryland 217.0
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—A&L
Date `��/Y'O/R�,
a