HomeMy WebLinkAboutLat_16824PetmarCircle_r11HSHINGTON
COUNTY
SANITARY
DISTRICT
3� W. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
To Main Line:
( ) Units Other
Industrial
Connection Fee Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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 SF3cifications.
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.
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
Plumbin Spector
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: Date
DISTRIBUTION: Permittee Plumbing B
Field Office
WASHINGTON COUNTY SANITARY (A01"'TRICT
WASHINGTON COUNTY, MO.
Project: Mauaanevi
Street (or location): esgr -"-
""IANTTARY SEWER LATE'."
4ONSTRUCTION RECrn;r)
i lJQ1Z a y N _ _ - - -
- PETMAR C{ecl-E i ?�" i1 J L -E�j iv)
Contractors Lisbon Contractors. Inc. _
MH 677 i$ -A1} @ I ►O°
Oats Installed 9 _Iz. S4 Wye Sta. On Main O+op Fi+.
as
ORe(oAir—
Co�N�r�
ro
M. N.
NOTES:
Pvc 11:.43 v� I St • d.
H LCNGTH w�
•Hort.= Total
26,30 LP
Cop
24. W LF
ops + Mort•
Depth of Cleanout 0-4,3/ •Flow Line ��•
Cleanout Z0,03'From-t--HAIQ •----
Laced • Z- x
N /A Basement Service
Mf "A
Amounts pertaining to work completed
8Y��
OEM nspec or
tla- MII 57-7
2'Sfub�CoP ••' ..
this periodv reviewed and approved.
C `/ -S
Contractors Rep.
HOPE.Viis REAL E=T,r=0
797 — 66« J""'"''"""
line)
/^o.
• 1-100/C o Gk�S-riu6 �vST�M
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M
Washington County Sanitary District
ila
SEWER SERVICE LOCATION
Subdistrict No. SD#15
16gA Contract No. SD15- 3-S
Property Address: Petmar Circle
MH 577 @ I10� DWG. .#fine-inA
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.
9
( 2 )
8" SAN.
(2 7
ti
L -r 95o T "i -os
Pigs U� 2�
/ ^ 737
(222)
LP
� y�
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: i 7_5 (54-
7
/Owe r
Owner
Attest:
as Co. Sanita District
(Form WCSC-1)
Replaces Form WCSC-56