HomeMy WebLinkAboutLat_14133PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
M W, WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083!3084
. 1.0. BpX 571
PERMIT TO CONNECT TO PUBLIC SEWERAG E/WAXER.SYSTEM
Permission is hereby given to: Custrimizer'5, Inc.
I
PERMIT NO. j76 \
DATE 1/?;"/.:; ,
SUBDISTRICT NUI - j 0' -
Maugan5ville/OH
For Property Located at: 2/04
'j e i 1 r) s
y 1 v a n i a
Avenue ��
4.70
Owned by: CIISttOMi7ers,
Ir?c.
Address:
2754 Pennsylvania
Ayeoue, Haq., ;rii
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee $620-00 ._ Date Paid 1 /.-1/"�7
To connect to a public sewerage/w44 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 -Treasure
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: Date �` 7 ' r7
Plumbing Inspector
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 Plumbing Board 3
Date
Field Office 1 City 0f Hag. 1
Washington County Sanitary District
#P' SEWER SERVICE LOCATION
Subdistrict No. SD#1
lgl33 Paf)r)5y)VC,tnContract No. SD15- 3-S
Property Address: 2754 - U,
ISH 707 to MH 708DWG. #601-342
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.
o �
rn
o �
Q
Q �
\� 873B NO \`pp \
2754)
p �\
H SD15-707 8" SAN.—
The
AN.
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:
Owner
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 �"'� �'�/ •
3 Signed,;
Proper y Owner
Date �A- -�
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.
Approved by W.CoS.D. Inspector
Date
WASHINGTON COUNTY SANITAR"*-^ISTRICT SANITARY SEWER LATC.''
WASHINGTON COUNTY, MD. CONSTRUCTION RECOk11
SD15-3-S
Project: MauQansville Orchard Hills Sanitary Sewerage Callection System
Street (or location).
. 641 /0y/9AL4 E755� -�-Sq Te5 e-V,4AII4 XyF/Vo(f
Contractor: Lisbon Contractors. Inc.
MH 707 T O MH Tod
Date Installed OC7-0136-P- Wye Ste. On Main
W IC JILL— I I 11L.WLY I n I Ti'L LALRV. LMT 114U
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
FI/•C.*Hort.= Tot
sDr�-Zb
FIV C. �, �� / St' d. /
NOTES:
Drop
"b10pe + HorZ=To
lD. 00 I Z. V -�- `L/' =
3T -KC -
Depth of Cleanout �•(P/' ®Flow Line
Cleanout 7• /' From Mgi�tL��� 140FI( tO"7dcLy)
Layed 0 2• c od/o ,%
- /VD Basement Service j
MH# 707
C.O.
�TCk . 1 t33 6 LT
MH# 7C6
Amounts pertaining to work completed this period, reviewed and approved.
BY
UCSD Inspector Contractors Rep.
/r - -_ IIt-Cf` A`