HomeMy WebLinkAboutLat_14215PennsylvaniaAvenueWAA NGTON COUNTY
SANITARY DISTRICT PERMIT NO. 921
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. Box i1 DATE 11/26/85
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT N U • 15
�+�augansville/@rchard Hills
Permission is hereby given to: Grady M Grimm
For Property Located at: Rt. #8 BOX 237
Owned by: Grady Mf ,ri mrn Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
) Units Other
Industrial
Connection Fee $620,00 Date Paid 11/26/85
To connect to a public sewerage/*Xt)§r 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 PRffPERTY OWNER.
Water Account No, 15-6990-2
Secretary -Treasurer
Building Permit No. '0M 6
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: 7 -3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Insp for
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
Field Office
Date
City of Hag. 1
WASHINGTON COUNTY SANI Y DISTRICT
WASHINGTON COUNTY M0. SANITARY SEWER LATC
' CONSTRUCTION REChNi
Project: Mauaanevi11eZOrchard Hilla Sanit■ry SA-u-91409Collaction Systf-m _
Street (or location) : 8-71 2T z- 7
Contractors LisbonCo tractors nct�y�n�a
Data Installed i _ � _ P 4—
WY= 51ZL- TYPE OEPTW—
" SIZE P P
8 x t. x 8 (e PJG CAS r
So 2. 3 5
50C Zoo 'e0J
NOTES:
SEL.JCz
MH 7o 7 6 TO MH -r 12 ✓
WY• Ste. On Main op 72 -
St' d. I fig, *7S L. r
Depth of Cleanout . o(- v.F eriouLineCleenOutl`.` ro
Layed 6 Z. >:
Yds 6esoment Service
N4# 70 7 6
z LC Sr., g
Amounts pertaining to work complet
8Y ai 1;
L� ( I J'I�a
WCSD Inspector
Ste. O4 7z
C.o. CA p
,Zl..J7. Srte.•&
—LLNGTH
ors.. Total
/G. Sri -4-F,
71
1 e i
GASr i¢.oJ G.O.
this periods reviewed and approved.
Contractors Rep.
Washington County Sanitary Distric,,
SEWER SE. L'CE LOCATION
Subdistrict No. SD#15
Property Address:
MP 707x3 --m ti/JN 71
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.
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: I
ner —'
} Owner
Attest: X
WasK.- Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
en�l�>yluan
Contract No.
SD15-3,-S
klhISYt..VAKtlli
4yETJI-1��
MP 707x3 --m ti/JN 71
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.
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: I
ner —'
} Owner
Attest: X
WasK.- Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56