HomeMy WebLinkAboutLat_14554PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
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33 W. WA 3HINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 57:x_
,t.
SUBDISTRICT IAC
Maugansvi ile/
Ie/Orchard k -ii ?;_
PERMIT NO. _
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at
Irvin C. Meyers
ilt. 48' Dox 219;
Owned by: i1eyer
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: Rt. 1t8), Box 192, KdC'erstrjAr• , MD
( i) Units
To Main Line:
Other
Industrial
)
Connection Fee 620..A ` `T Date Paid
J
To connect to a public sewerage/WaLtAr 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.
Water account No. 0-16-9466-6
Secretary -Treasurer 40 Dom`
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:a. Date
Plumbing -I ector
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
Field Office i
Date
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MO.
I
SANITARY SEWCn LATE'::
CONSTRUCTION REConrl
Project: Maunaneville,/Orchard Hills Sanitary Seuerao• Collection Systa■
Street (or location): Db4C-3ce �e $ &X,-) 1.5
ern sy 1 V0.n�� � •
Contractort Lisbon Contggctors, trach Inc.
MH TO MH 83Z
Oats Installed /OlZ �c�¢ Wy• Ste. On Main z+o9.2��.
St 1 d. •Hors.• To
To
NOTES: ` Drop 3 L., >L.
�^ MAIM
v K
LS w•�l"u2.
zz
6' S OR 2 C- RVL. I
� I
•' 45`Bencl '" '
2 'amu b 'Cap
I ti
Depth of Cleanout `} 4 OFlov Lina
Cleanout i� brow M4111
Laced - A;�7ER G20P
• AJ Basement Service
1-5- 41, 4 Gu P
..C-. C-")
r
Amounts pertaining to work completed this period, reviewed and approved.
BY
napec tar Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: Old Middleburg Pike
�n►�sy Ivo.:n�c�
MH 831 to MH 8 DWG. #601-355
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.
r�
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:
Ow --
000h,
uwner
Attest:�� ,
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56