HomeMy WebLinkAboutLat_14002PennsylvaniaAvenueJVASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O.BtX571 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT 1:)
Maugarisvi 1 ie/Orciiard Hills
Permission is hereby given to: T _ S- A 1 I)h i n
For Property Located at: 20-0
Owned by: T. S A l p h i n
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Address: 2613 Penilsvlvania Aveiiue, H g rr c)W,,,
To Main Line:
( I ) Units Other
Industrial
Meter Size _ Connection Fee — Date Paid _ 7 1 7
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.
Building Permit No.
Secretary-Treasurery
per+- JQ . � �-
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
Plumbing Insp or
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 i Plumbing Board
Field Office
Date
WASHINGTON COUNTY SANITAP— DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,'. _
CONSTRUCTION RECK
Project: MauQansville Orchard Hills Sanitar Sewers a Collection System
Street (or location): CdI 827 24w� PFN/A15YC.V.4 //A A\lk-.
Contractor: -
Lisbon Contractors. Inc.
Date Installed
Y YP DEPTH TYP
SIZE TYPE PIPE C.O.
C.O. LATERA
(BX.rci�B"l0"�022�P_�G 6�0�26P.iG.
(0" 49Y),--
St'd.
NOTES: I I Drop
4 M -NA/ l
rf
�;r`
MH 678 TO MH 679'.
Wye Ste. On Main D gGZr.
""^�• LNTINU
LENGTH LENGTH
*Hort.= Tota
—*tope+ Horz=Tota]!
i8.a0�"F. 5.(o7f/30D= 18.�o/L.F.
Depth of Cleanout &.9gV.F.••----------
Cleanout /4.5' rom�"A/" ®Flow Line
Layed �TE�t [)GOP
Basement Service
M H # "'c-� 14.5.......
2 34Li b E;Co P
Amounts pert 'ng to work completed this periodo reviewed and approved.
BY
O Inspect r Contractors Rep.
MH# �-77
(rnrm urg;r—a)
0
C'o
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3=S
Property Address: Mon-
P naaylvania Avenue
ISH 678 to ISH 679
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.
a
(26 09) s
nI,
M
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.
- 4zz- f-1 ��(
Own e r — —
c
wner
Attest:
Wash. Co. Sanitar D strict
(Form WCSC-1)
Replaces Form WCSC-56
a
MH SD15-678--._
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:. fir✓
,-r+^-� , � �� ' � � I
1` �
t
z `
827
i
1
�I
(26 09) s
nI,
M
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.
- 4zz- f-1 ��(
Own e r — —
c
wner
Attest:
Wash. Co. Sanitar D strict
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
- /1
To: Lisbon Contractors, Inc.
RECEIVE.
WASHINGTON COUNTY
SANITARY C01►4;�11SSI01�
rtisP��roR 4 --
DATE
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Z
C --
Address
ok
Sign
Date
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— /4�—�
Date �jt 4- - f3 4-