HomeMy WebLinkAboutLat_14717PennsylvaniaAvenueWASHINGTON
COUNTY
SANITARY
DISTRICT
737, WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083 1 3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
PERMIT NO. _
DATE
SUBDISTRICT IAC • f 5
�1S4t��YiSV %IAJOrC'±al':,
Hills
Permission is hereby given to: — For Property Located at:
Owned by:
Address: 114.3 ;ox 1 `--)1 , `Hafierstown, mo 21 %'<t,°
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units
To Main Line:
Other —_
Industrial
Date Paid 2 / 3 / 86
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.
=avt.ar Account No. 0-15-9288-I -- --
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 In ector
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitte
Plumbing Boa
Field Offic
Date
6-0
J
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Cont act No. SD15- 3-3
lye/ V¢nns��l'qanict Nve
Property Address: Route 8 Box 191 (Pennsylvania Avenue)
MH 907 to MH 968_ DWG. #601-357
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: tT Se 1,50 97 L" Pe) -
Owner
Owner
Attest-
s Co. itary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
EiVy'
: x,
(� TQib�r
cOU
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
y � /� ■r .err � i i
Address '1..� s ev -y ! `� / ��lAc)- 6C., dad
T
Signed
��
roper y Owner
Date�Z1,3
t'"Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 217.0
Re: Maugansville/Orchard Hiils Sewers
Contract No. SD15-3-S
a
• 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':
CfF 4 / r � K �Pl /{-e- Nld f e b 4, Y ii _
..■w..r.r.�.rr..■■r■r.��■„ ■,� irn.irr ori. u � ...ri .�.�ii i� 1
u /3 A S L/ .c> r D �` 7� rA4
Requested by Lisbon Contractors, Inc.
'pproved by W.C.S.D. Inspector
nA'i;E 7- / 3/
WASHINGTON COUNTY
WASHINGTON COUNTY,
SANII. .Y DISTRICT
MD.
SANITARY SEWER LATE+
CONSTRUCTION REConr!
Project: Mauamn_sy-ille/Orchard Hills Sanitary Jew r■oe Collect on System
--� i t �(� l Scm �� I l c,✓
Street (or location): ,AIS �i'1�an�� �-
I l `1 19 er,h s 1
Contractor:, Liabon
Oats Installed
B"x6"x 8'
2'54ub �-" Can
Depth of Cleanout 400
Cleanout 30.4 From -J---
Laced
• 0 Basement Service
1c 7
MH Rc),� TO NH "--lc6
Wye Sts. On Main_0+Zy'5 L4_
*Horz.o Total
9ZI/f Z, -
lou Line __ ...�.
2 Lt4u b £i Co p
NIH# 90p
AmouN@einil to work completed Lhis per:odg reviewed and approved.
8Y '-Contractors�
Inspector Rep.