HomeMy WebLinkAboutLat_13942PennsylvaniaAvenueWASHINGTON
33 W. WASHINGTON STREET
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at: 2t,05 ? Rnn earl urn M ,a�*c�Y)3aw I WZ
PERMIT NO
DATE
SUBDISTRICT
Owned by: 'a'fii117..am 1PCrme Address: X60;72 Nyonme. T_Tagey Stowino
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:_
( ) Units Other
Industrial
_ Date Paid
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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
No, 0-15-7040-4
Building Permit No
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: G Date
Plumbing 1 ector
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: _ Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
WASHINGTON COUNTY SANITAF_ DISTRICT SANITARY SEWER LATE',_
WASHINGTON COUNTY, MO. CONSTRUCTION REC(Jkl
Project: MauQ,snsville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : 6111 82( OGAY!E Pc Af.5Y�V4w/4
Contractor:_. Lisbon Contractors. Inc.
MH TO MH 679
Date Installed I MAY 8¢ Wye Ste. On Main o43&, r.
WTL ,ILL- i TF'L ULPI M 1 THL LALAU. LMT 11Vh
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
2foP.V.C. GgQez6 *Hort.= Total
ope + Morz=
NOTES: I I
Drop
K(ai n
" 50R 2ro P.V.G.
2 '/o
Depth of Cleanout f3o ®Flow Line
Cleanout 15 Frames Amin
Layed 0 2
-{0.55/00' Basomont Service
MHS ��8 15' MH# 67?
_ C.o. _t
6 £:CQp
Amounts per ming to Work completed this period, reviewed and approved.
8Y
UCSD Ins, ector Contractors Rep.
13
Property Address: ,2-46
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
nnnsvlvania Avenue
u L . u. ;.1
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.
MHD15-6784t {-
S x . 41An----n- -1. --
o
i z gra c
fT
,�; �1 l
Key
(800)
4 r'�
_ i I
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 ow-ner'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
uwner
ew Attest:
Wash. Co. SanitaW District
(Form WCSC-1) '
Replaces Form WCSC-56
,WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
;00tH
G ?' 6VI*
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ Z_6 j
.N
Signed
Property Owner
Date
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;
D 1k
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date 3130 18,y