HomeMy WebLinkAboutLat_14612PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. /40
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301)791-3083 3084 DATE
P.O. BOX 571
SUBDISTRICT0. -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM A l e/OrC?1dar�!
Permission is hereby given to: Harold M. Brumbaugi, _
For Property Located at: Route 8, Box 210 Hd_ Lawn . Maryland 21740
Owned by: riarold M. Brumbaugh Address: Route 8, Bax 210, Hagerstown, MD 21740
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential — (1 ) Units Other
Commercial Industrial
Meter Size Connection Fee $620.00 Date Paid 7 16/88
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
Water Flo. 015-9405-2
Secretary -Treasure �
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 Inspect
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: Permitte
Plumbing Board
Field _ _ Offi
1
Date
City of Hag. 1
1 10
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
/1%) a Contract No. SD15- 3-S
Property Address: Route S Box 210 (Pennsylvania 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.
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: A3 e i.
'7n6r
r n
au
Owner 61
Attest: R/ e - A R C �[ j GWY-LI . I A�
Wash. Co. Sanitary DistrictntC r� �, F-6
(Form WCSC-1) -770 - `� sSr a,4q P
Replaces Form WCSC-56 71, ki S
,r_
WASHINGTON. COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Date ��,�y
"Washington County Sanitary District ,
33 West Washington Street
Hagerstown, . Maryland 217.0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
• Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Aj le
i
Requested by Lisbon Contractors, Inc.
:approved by W.C.S.D. Inspector_
ss... Date y� �' y
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWER LATE'."'_�
WASHINGTON COUNTY, MO. CONSTRUCTION REConr
Project: MouamnsvillelOrchard Hills Sanitary Sewerage Collection SYatem
Street (or location) : 6A ,V X - t'
i'��ia enh�yl vania
Contractor: Lisbon Contractor a_.Inc.
MH"> ATO MH
Date Installed /'&v¢ � Wye Sta. On Main +5=3 U
a°n6•xe•
0,54ub f"cop
Depth of Cleanout 5, <% *flow
Cleanout Z.5 ' row Me 111
Laced •
Basement Service
4
Line
+153
254ublii64P
-Sc o .
r
Amounts p a n9 to work completed this periodg reviewed and approved.
.--7 . "7N811 f ' �
777 WCSD Inspector on rac ors Rep.