HomeMy WebLinkAboutLat_14224PennsylvaniaAvenue11ASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: '
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
( )Units
Commercial _
Meter Size
Connection Fee
(301) 791-3083/3084
To Main Line:
Other
Industrial
Date Paid
PERMIT NO
O8
DATE _00or
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 SFacifications.
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 RESPOW
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
Permit Fee
Final Inspection Made
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
J2
Date?
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
SANITARY SEWER LATE',:
WASHINGTON COUNTY SANITAR DISTRICTCONSTRUCTIQN REC(�I%J'
WASHINGTON COUNTY, M0. ./
Project: Mauoanav_ille/Orchard Hills Sanitary Sewerage Collection System
Street (or location): 6,4f 832 0 8 50KZ38 -
1Li4
Contractor:
LkLb n Contractors, Inc.` ' n
��`• ovr orr 722 Z7b° Gif.
�'-�Z2 y �e��sY�✓�✓ MH 70f TO MH
Date Installed 1� )cine 94- Wye Sts. On Main
SIZE- TrVL ULFIn ITrt_
IIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
*Harz.= Total
co vu. 6?vc . wl5r 7•f2VF Stud. 1�.30L-F. ZO•�� L.F
70
NOTES:
Drop
12,
I
I
— nAit"
I 8" n?'L (�A5
I M4)N
Depth of Cleanout '7• /Z Y -F. ®Flow Line
Cleanout 18.30' romp M4/u
L a y a d Q...8 %
- po55/6t_'✓ Basement Service
MH# V2
Amounts p ainin o� work completed this
8Y
Inspector
MHS X22
G�3 -no; 11
pari.od, reviewed and approved.
C/i i. Fr tskz
ontractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: RniitP 8 Rox 938 (pe.nnsylvania Avenue)
MH 799 1'122y RA, A✓2. -7�"V ��� DWG. #601-346
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.
RAW �� /� _
- 3
8" SAN. MH SD15 -722 LO � 8" SAN.
t
832E
(RT 8 BOX
2 3 8 ) �Jy
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
wner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56