HomeMy WebLinkAboutLat_14615PennsylvaniaAvenueW
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P.O.I
INGTON COUNTY SANITARY DISTRICT
WASHINGTON STREET
�X 571
HAGERSTOWN, MARYLAND 21741-0571 Wul) /'JI-3U0JiJU0v
PERMIT NO. 762
DATE %/22/35
SUBDISTRICT No • i h
PERMITTO CONNECTTO PUBLIC SEWERAGE/WATER SYSTEM Maugansvi l le/Orchard mills
Permission is hereby given to: Margaret M Su 1 1 i Van
For Property Located at: Rt. #8, BOX 1 t3 1
Owned by: Margaret M 5U11 i VdfiAddress
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee $620.00 Date Paid 7/22/85
To connect to a public sewerage/)VXtvrysystem (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. 0-15-9200-9
Secretary-Treasur
Building Permit No.
INSPECTION: At Feast 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 --'Or
Plumbing Ins ctor
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 City of Hag.
WASHINGTON COUNTY SANI1 .tY DISTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWER LATVIA; -
CONSTRUCTION REconit
Project: Msuamneille/UrM - ..---
Street (or location) : 64f `� ``'
i� r0n051Van ILA,
Contractor:LJ1bon "
Date Installed
PlioAiE (''•50'e Zb R1[C .
M. N
NOTES:
M,AIK.
MH _ TO M
St'd.
Drop I --� - ' ,
A� 2°% 2'sfub GOP
i
Depth of Clesnout *flow Line
Cleanout from -4 ma In,
Layed • x nom, n�oQ
Basement Service
*Hor z . • T
-7. 3-+ 3( o • 4.3,3
-Q
o�
�-, G .O . • •.,
---- 2 SEu h E C
Amonnts pertaini q to work completed this period, reviewed and approved,
By
inspector Contractors Rep.
LSF i rt AL 1 �✓ '� rt 3 � � - `'
(1) Z Z(0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
I4/ 115--' Contract No. SD15- 3-S
Property Address: Route 8 Box 181 (Pennsylvania Avenue)
MH 855 DWG. #601-353
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.
�1
0 MH S Dl" -25
_ ------------) T
'r
862
(RT 8
BOX I
181 )
r
H
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
Owner
Attest: / L a J J
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
ZY_ gz
AIN
WASHINGTON COUNTY SANITARY DISTRICT
j
' 33 West Washington Street, Hagerstown, Maryland 21 - (Vi
(CI
FT 313 1984
WASHINGT01%1 co.
x, s SANITARY ®IST
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
L__
a
•
w.
Address_--
roper y owner
)V) tit DAte �`
"Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 21740
Re: Maugansville/Orchard Hills Sewers
0
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:
r<l�cl:) 7H
000,
'= Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector -
. �._..�._...
Date