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HomeMy WebLinkAboutLat_14548PennsylvaniaAvenueWASHINGTON COUNTY SANITA,., DISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATEO,-" CONSTRUCTION RECOUr! Project: Meuosnsvilie/Orchard Hills Sanitary Ssueraoe Collection Svatem Street (or location) : CAI C%8 ( P7, 8 yl r86 Contractor: Lisbon Contractors. Inc. �� MH 83E� TORN 8,3 Oats Installed 24, f Wye Ste. On Main l fi59, 7 w�L al cL— I TI+L DEPTH TYPE _� LAYTING t T P PIPE C 0 C 0 LATERAL LENGTH LENGTH R.,n, •K8••---TYPE aHorz.= Total St' d. (7L, FL 14,3 L , F-, NOTES:' Drop DP Depth of Cleanout 1913 •Flow Line Cleanout From mA„u •----- Layed 0 Basement Service 1-f 59.1 RTI 83© Amount er ininq to work completed this BY Inspector MH# (63('0 C•D 25fub 'E, 64p, r i period, reviewed and approved, Contractors -Rep. ~� 1 I� 001 / To awAJtf Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1G A,/e_ Contract No. SD15- 3-S Property Address: Route Box 1 856 WIMC, &r-rior-k 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. INLET INLET / nFPTH DEPTH —05 C _ 5 — 12 RC� co PARKING LOT X i. R/W — 8 W ------------------------------ 6 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: Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 Owner Owner -WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. X33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE P.O. BOX 571 SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Q� Permission is hereby given to: � `� �`Q.l I ca' ck 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 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 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: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY:Date Plumbing pector 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 Bo Field Off Date