HomeMy WebLinkAboutLat_14121PennsylvaniaAvenue,WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: --- ---
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
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 SF9cifications.
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 IrrWector
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: Permit
Plumbing Bo
Field Offi
Date
Property Address:
Washingto.L County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
iqlal
Contract No. SD15- 3-S
—
2730 Pennsylvania Avenue
MH 710 to MH 711 DWG. #601-344
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.
1� EASEMENTNSEE
MH SD15-711_ 7 BB -620'048
MAIN
\ '
�- 8° SAN
E596,750 ----� j
NT O
o i
-081 0
87 A i
Imo'
20 WIDE PERMANENT
MPORARY SEWER EASEMENT 1
ON EASEMENT SEE DWG. BP -620-058
20WIDE PERMANENT s
SEWER EASEMENT j
SEE DWG- 140t620-081 j
20' WIDE TEMPORARY
CONSTRUCTION EASEMENT
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 .A a= -3 , - l.irk
%/ SR
Owrier
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON. COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address a 7 3 0-_
Signed, -C_
ropertyy-Owner
Date.s-�D
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-5
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._V�j} ccs --h
Approved by W.C,S.D. Inspector
Date // 7 4
WASHINGTON COUNTY SANITAR`,DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATCO,�
..00W CONSTRUCTION RECO Pi';'
S015 -3–S
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): C4/ B7t5 A Q rrr s Z73ZD P6FAIA14 Ji/= -
('-(tenn5y) vin toy
Contractor: Lisbon Contractors. -AV,
I c.
MH TO MH
Date Installed 1V0VeEM 5cc,P z,, /983 Wye Ste. On Main
celt of M/! 7/l
WYE SIZL— IYNL ULNIN I T VL r-nLnu. LRI IIYU
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
*Hor7.= Tota
5D/Z- z(p
F. /0-A-11 S t ' d .
NOTE S:
*Slope+ Horz=iota
Drop �S. �' l� O� t &.7'
— 18 7'._.._.�
M14 7/l
Depth of Cleanout /U./Cc'_*Flow Line
Cleanout /3.5' From
Layed ® dD ti
Basement Service
MH# 7/0
574 . 0-100
MH# 7//
Amounts pertaining to work completed this peerr.i`od, reviawed and approved.
B Y —��,
7 WCSD Inspector Contractors Rep.
(Form WCSC–h)