HomeMy WebLinkAboutLat_14008PennsylvaniaAvenue-1i ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO,
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
(301) 791-3083/3084 DATE
Permission is hereby given to: 1 — a)O
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
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 RESPON-
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
Plumbing I 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:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITAP —DISTRICT
WASHINGTON COUNTY, MO.
Project: MauQansville/Orchard
SANITARY SEWER LATCO,'�_
CONSTRUCTION REC(W,"'
ry SeweraQe Collection
Street (or location): 67,4I tjL'<? 4?7 PA. A 0,'
Contractor: Lisbon Contractors. Inc.
0UT0A= 0. 14.G -71q
MH X79 TO MH
Date Installed0i;Z-1 I S / 84Wye Ste. On Main 0�-oo
6P 77,/ ° RT.
SIZE
SIZE—WYE
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
X AU.
LENGTH
LAYMG
LENGTFI
IVONE
("'LDee&
*Hort.= Total
CO k/AJ .
PVG
4.51? V. F
S t ' d
To
M.N.*Sl
.
24( 3o e-
Drop
ape + Horz= a
NOTES
e -/o
Depth of Cleanout 14-g1V.r-. ®Flow Line
Cleanout 11.8 Fromp "Aw
Layed 6 ? ,�
• `.' Basement Service
MH# '
Amountspert Ening to work completed this
BY -
G -1r, ,
0 Insp ctor
(rnrm a qr-d )
z' Sfu6 :Cop
period, reviewed and approved.
Contractors Rep.
6a
W
AC, �p y 7b O')fia/
/��leB
G
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
11A o o':� Contract No. SD15- 3-S
Property Address: 0,&Iz-�ennsylyania Avenue
MH 679 2 2.1 C 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.
8"SAN
♦ R/ W
11
I I
I I
115
MH SD 15- 679
HV 75
I
EL. 678.29
829
-1(2617)
i I
' I
I
T. B. M. 49
S
S
01,61 S'
T'10 v) A R ps
140(,-50
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. n
Date:
Ow66r
Owner
POOP- Attest: '
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
00' --
WASHINGTON
iia - (o-7 t
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
R ECEI VE D
a
'I€u
T%COU""
jOTY
SANiTr; Y CU'k iIS510N
DATE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
760
Address_ 26/7
Signed
Property er-
Date 4 AGRie-- e5,;1 -
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, In
Approved by W.C.S.D. Inspector
Date 4-- 4-g4-