HomeMy WebLinkAboutLat_14570PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT
P.O.•BOX 571 11,v � y1, J
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO.
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT i'�
//�� Maugarisv: i ger urch'a, u
Permission is hereby given to: Karen 0. Wetzel 14510
For Property Located at: xou Le 8 Dox 212, Hagerstown, Maryland 21740
Owned by: Karen D. We -ze? Address: Route D, Box 212, Hagers -Lo+wn, MD. 217C
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size
Connection Fee .$620' 00 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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
i - !
+pato'^ No. Unavailable �+
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 InspeKor
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office 1
City of Hag. 1
WASHINGTON COUNTY SANIM DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE',"
CONSTRUCTION REC(► %I
Project:
Mauasneville/Orchard
Hills
Sanitary Sewerage
Collection Systlm,
Street (or
location) :
CAI
7t
B lX.
Z l Z #r. -
Contractor:Ligbgn
Data Installed it'� "-`, 4, 4
NOTES:
n
uhf,,cap
MH � 3L TO MH� 3�
Wye Ste. On Main 8G�;
IIC, � I St1d. I Z St r
Drop
8 `WAra
9.4 9111 -D
i
50a20 Avc.,
Z, 7.
Depth of Cleanout 1/. 4- Flow Line
Cleanout From Z-7.&Ii1
Layed •
• y� Basement Service
2 �ubF;Gop
V6
MAJ AJ
LENGTH _
*Horz.= Total
z v . `/
pe orz=
............ .
`01FZ.-t 8� • 5 c, -r,
3 Z MH# 8 33
Amounts pe ink to work completed this period, reviewed and approved*
BY (24
777 WM- lnaFktfctor contrac ors op.
i
Awak
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
H570Contract No. SD15- 3-S
P6nsj(jy(anj(:A Property Address: RnutP A Rox919 PRpnsylvani2 Avenue)
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.
I I n
> I
837
I (, (RT 8
IC 280X
1 I I I —11
JJ I I II
11
R/ W S• W
8" SAN. _ C DMH SD15- 833
-117 CVi
8 G
0
U-1
(MAC.)
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: are-
Owner
Ow
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56