HomeMy WebLinkAboutLat_14701PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMITNO. %16
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE 7/1,2/85
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT 0 . 15
Permission is hereby given to: f, ha r T S 0- Wr i aut Maugansvi le/Orchard-Hills
For Property Located at: koute 8, Box 187 1 LAI 01
Owned by: Charles D. Wright Address: Route 8, Box 187, Hagerstowia,
Type of Connection: To Service Connection _ To Main Line:
Type of Service: Residential
Commercial
Meter Size
( t ) Units
Other
Industrial
Connection Fee _ 41 , 24U. UU Date Paid 7/12/8-5
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.
Water Account No. Unknown
Secretary-Treasur n„ -
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
Plumbi Inspector
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. 1
WASHINGTON COUNTY SANIT- , DISTRICT
WASHINGTON COUNTY, 040.
Project: MauMn8vil Orchard Hills Sanitar
SANITARY !EWER LATE''
CONSTRUCTION RECoizf,
Street (or location): CA 1 R57 k7T.
iy �7o i 'f✓¢ nn sy van�a
Contractors Lisbon -Contractors. Inc -
Data Inot011ed ►► 0 IE4
.a.�m .
Depth of Cleanout 5.7-
Cleonout� 'ROM -4-MeIu
Layed • l�
Basement Service
4WIou Line
1 +7-5.2 L -T,
MH 9-- p TO MHMMUNiumong
Wye Sts. On Main 14Z5.2t-T;
no9fo
Amounts -pertaining to work completed this period, reviewed and approved.
By a'x j u
Inspector contractors pop,
---
A**„ • J
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
[[701 IPennsylva►n..gntract No. SD15- 3-3
Property Address: Route 8 Box 187 (Pennsylvania Avenue
MH 969 :o MH 910
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.
F
c2 Vv
�i
f,
857 \ I �0e.a oh/
I (I (R 8 (RT. 8 1 "r er
II B BOX 187)
88 ' CEME1 *4 POOP
R/w
8 SAN.
c MAC.)MH I - 915
The undersigned agrees that e ani ary
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:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
,i . I r
r
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
i ii
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address R- Sox
Signed ,�
Property caner V
Date_ /o - L9 - B 4 -
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Gentlemen: Contract No. SD15-3-S
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:
[7 e nE J r) 0 0 li 6-45 M -6 P
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date /o- Z9-P,4-