HomeMy WebLinkAboutLat_14722PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 795
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
%/� SUBDISTRICT )
PERMIT TO CONNECT TO PUBLIC SEWERAGEfViATEA SYSTEM Md a <. :hard Rills
Permission is hereby given to: i van U. Martin
r
For Property Located at: Rt. #8. Box 201 `L 04200Z
Owned by: Ivan 0. Martin Address: Rt. #8, Box 201 , Hagerstown,
Type of Connection: To Service Connection
Type of Service: Residential X ( x)o Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection Fee $1611043010 $1 , 240.0Ate Paid 819/85
To connect to a public sewerage/ 49thr 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. 15-9331-5
421-
Secretary-TreasurEg nDV 10 J
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
- f-11
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
3
DISTRIBUTION: Permittee Plumbing Board
I 11
Field 1 Office
Date
City of Hag. 1
CG f jo 0LA-102—
Washington
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
ly�a�Contract No.
cnn5y)\ Van�c, Avg
Property Address: Route 8 Box 201
SDI 5- 3-S
ISH 905 to MH 906_ nwG -3-5g
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.
ti 5A1�1.
_ R" SL1N
MH SD15-906
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: 8 - z Az C "V2 -
Owner
Owner
Attest: .
Wash o. Sanit ry District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANI.._AY DISTRICT
WASHINGTON COUNTY, 110.
SANITARY SEWER LATCO:'--
CONSTRUCTION REChnM
Projects Mauamney ll,o,/Orchard Hills Sanitary Ssugra s Collection System
Street (or location) : r
1y7a;� eno5,z�)1V0.ni'r., AVQ
ContractorsLisbon Contras"*sInc.
MH TO m qc
Date Installed r`- (�= i I� Wye Ste. -On Pain
P. yG
NOTES:
?IC I --)-: (r I St 1 d.
MAW
0
i
i
"SSG
45•
Drop
0
P
Zg-t 18.L = Z1. I
.
Depth of Cleanout 5 •flow Line ._.r..
CleanoutFrom —t.
L a y e d•�--- 4 F --req Deo n
• 77 Basement Service
Mo
P
r
Amoun er dining to work completed this per�od� reviewed and approved.
BY J CAI � IT"s1��
�___ napes or Contractors Rep.