HomeMy WebLinkAboutLat_14004PennsylvaniaAvenuek-rA� HINGTON COUNTY SANITARY DISTRICT
UN J 1 KEE 1 HAGERSTOWN, MARYLAND 21741-0571
MIT TO CONNECT TO PUBLIC SEWERAGE/1(V,ATER SYSTEM
Permission is hereby given to:
jFor Property Located at:
2613 Pennsylvania Avenue
Owned by: T S. A l p h i n Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
I
(301) 791-3083/3084
PERMIT NO.
DATE
SUBDISTRICT No • 16
Maugansville/Orchard Hills
2613 Pennsylvania Avei,ae, iia erscuw,,, iii
To Main Line:
Units Other
Industrial
Connection Fee ":o Date Paid_ 7/17/€6
To connect to a public sewerageAmat& 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.
Secretary Treasurer
Building Permit No.4. V 01Q'X_
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
_2/6�
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 .i
Date
Field 1Office City of Hdq . 1
WASHINGTON COUNTY SANITAP- DISTRICT
WASHINGTON COUNTY, MO.
Project: Mauoansvi
Street (or location):
SANITARY SEWER LATC,',- _
CONSTRUCTION REC(iiil
Contractor: Lisbon Contractors, Inc.
Date Installed � r64
Y ----TYPE---
ITYPE PIPE C.O. C.O.
F7 "7 'IsD.e 2� PVC . (0,50 Z
2 &
Pv.G . `i. 4J V.F--
NOTES:
NOTES:
"A ^I
LATERAL
St'd.
Drop
(�„ S A2 2e& PRIG.
/D Flo
MH (078 TO MH 7
Wye Ste. On Main
• LM T 11VU
TH LENGTH
*Horz.= Total --
310P8+ horn=Total
B.45f9.s3=�a.zec.�
Z'S+Ub'e-Cgp-
Depth of Cleanout 9. 19 VF:""-�----- -
®F1oW Line
Cleanout 13.8' F rom :t-- ",A
Layed 0 �0 %A -4r- Drop
f015513Lr Basement Service
MH// C -16
MH# 679
.c.d.
Amounts p taining to work completed this period, reviswe'd and approved.
BY 'T
UCSO In pector Contractors Rep.
f rnrm a Sr. -4 i
W
C. 0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
I� b0'-1 Contract No. SD15- 3-S
Property Address: •i6 -TI Pennsylvania Avenue
MH 678 to MH 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.
%"M,
MH SD 15- 679
' R / W
110
828 I` - 9
(2613) f�
HV 75
I
EL. 678.29
T.B.M. 49
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: "�/-7
�
Own i"
s r
Owner '
Attest:
Wash, Co. Sanit r District
(Form WCSC-1)
Replaces Form WCSC-56
A.
WASHINGTON COUNTY SANITARY DISTRIC �3Z
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
To: Lisbon Contractors, Inc.
RECEIVED
WASHINGTON COUNTY
SANITARY COMMISSION
INSPECTUR DATE
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address (o .
3 4 ri-
Signed
ro r y weer
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:
Requested by Lisbon Contractors,
Approved by W.C.S.D. Inspector_
Date 4- 4-- £3 ¢