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HomeMy WebLinkAboutLat_14027PennsylvaniaAvenueVVMSHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: —– 2 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 _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 Spocifications. 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 Insp or Of 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 Office Date WASHINGTON COUNTY SANITARY—ISTRICT WASHINGTON COUNTY, MD. SD15-3—S SANITARY SEWER LATE! CONSTRUCTION REC(ii;fi Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System - Rny V Street (or location): GA I -�-Z4-98- P E N N A. AN—E, A N o£ oa f q Contractor: Lisbon Contractors, Inc Date Installed % APR\L_ 84 MH 6,Cp7 TO MH (06>8 ,�-- Wye Sta. On Main 2t0(b.5 WYE SIZE SIZE— TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EX AU. LENGTH LAYING LENGTH TFC �� 7(oil V C \ C�lL7 //ter 7,7 W C�} `�' `� d ++ r� � *Horz.=Total / StIX t(p YVS —Pvc- 7 ✓ • r lY ope + orz= a Drop �� \ NOTES: :-)TOE c.AP C,D. i 2 L Depth of Cleanout -7.70 ®Flow Line Cleanout !�. From M L Layed ® 2- N t)KKNA0Vq N Basement Service FLOW MH# 66 6-7 MH# Co(o8 Amounts pertaining to Work completed this period, reviewed and approved. WCSD Ins a for -7 /CdntraqXors Rep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 ,14L),;l I Contract No. SD15- 3-S Property Address: 0 Pennsylvania Avenue ISH 567 to ISH 668 DWG #601-337 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. X FENCE' X -i 8" SAN. Bo x FORCE �1?6 Gi4t 5 S�RUIcE S 1 ll F- 0 © W-5 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-n.er'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 wner Attest: Ac FIAR 4 L C3 45e - Wash. Co. Sanitary District (Form WCSC-1) -1?© I Replaces Form WCSC-56 4*