HomeMy WebLinkAboutLat_14708PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W.k1lyASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
71DATE
of 5DAT E
PERMIT TO CONNECT TO PUBLIC SEWERAGE/W'ATERSYSTEM SUBDISTRICT
Ma ug ansvllle/orchard H1
Permission is hereby given to: Ronald L. H )user, Sr , �L.4•��
For Property Located at: Route 8, .3ox 204, Hagersto.411, Maryland 21740
Owned by: Ronald L. Houser, Sr Address: Roue 8, Box. 2U4, Hagerstown, IIID 2174
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential
Commercial
Meter Size
A (1 ) Units
Connection Fee $620.00
Other
Industrial
Date Paid
To connect to a public sewerage/&6t4r 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water Npo 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 Ins for
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 _,
rA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
19108 ennsylvo,,fNic� IIve
Property Address: Route 8 Box 204 (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.
- r R/W �)
1
7
07 C/)8° SAN. MH SD15 -
M. 71 I I ( r -' I i1 8 SAN.
1 845 U MH
I f ( RT. 8
I
I II
BOX
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-dt or near the property
line.
Date:
Owner
Owner
Attest:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANI1ftOY DISTRICT SANITARY SEWCR LATCP
WASHINGTON COUNTY: MO. CONSTRUCTION REconri
Project: Mauoaneville� Orchard Hills San tarn Seueera_Collection Svstem
Street (or location): C-Ia r A45i . B �>C Zo4
11-11,70
Contractors Lisbon Coo
Date Installed 10L'18. '
MH q0-7 TO MH q ave' `f
Wye Ste. On Main
.
"A a' "woe z� Pvc.. -- ►Hors. • Tota
A,4 St1d.
+ ss• o a
NOTES: crop 2'5d
y C`YD
NAIU (YL J\
�5
zae 1
I "Sian STC '�
2'� •
Depth of Cleanout •5. 41Flow Line
Cleanout "Zc• 5 From :t--►>^AIAJ
L a y a d • a- f ]u AFTER DiZDi�
Nn Basement Service
G.O.• ••.
?dub e,Cap'
Amounts t inq to work completed this per:odg reviewed and. approved.
8Y
WCSD Inspector on rac ors ep.
. .