HomeMy WebLinkAboutLat_16827PetmarCirclei&SHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.O. BOX X71
PERMIT NO.
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
No. 1'S
SUBDISTRICT
PERMITTOCONNECTTOPUBLIC SEW ERAGEPWA SYSTEM �laUgansvil le/Orchard Hil s
iild31 1 �rU�
Permission is hereby given to: Yentsch l
For Property Located at: 211 Petmar Circle, Hlgerstown, Maryland 21%44
Owned by:
i1;.an C. Yentsch Address: 211 Peti�,ar Circle, Hagerstown, 40 217
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
X
Units
Connection Fee $b20.00
_ To Main Line:_
Other
Industrial
Date Paid
To connect to a public sewerage/Wi4tgr 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 No. unavailabie
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 Insp or
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 SANITARY L fRICT
WASHINGTON COUNTY, MO.
ANITARY sEWCR LATE'.
CONSTRUCTION REC(rn;r:!
Project: Mauoansvilie/Orchard Hills Sanitar►►eweraoe �oitectiion arae__.
1(.e <6 d 7
Street (or location):, r,.41 '747 PETwA2 CVR"XE)
Contractor: Lisbon_Contractors, Inc.
MH 5-:'_ TO MH 5-73
Date Installed '9-13 -$4 Wye Ste. On Main 0+71
8"x ,..X P" 1N"s0R TG
NOTES:
LL8,43 w St'd.
Drop
2'S-iu 6 �P
32.65 LF
MAlllf
SDR Z (o OvL
3 �
Depth of Cleanout '343 " *flow Line
Cleanout z7.(a5 ` From +_MafJ,f
L a y e d• s �` A PT Eft 0Z0r::,
W .1-A Basement Service
—-�--- l•:� Saab � �•P
6'
LENGTH ,.
•Horz.• Toti
3.7 5 + 27.00 =
30,75 LF
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSO Inspector Contuactors ep.
L0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
107aI Contract No. SD15- 3-S
Property Address: � Petmar Circle
ISH 572 to SIH 573 DWG.#601-309
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:'�� -�
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
1
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21 ?1� 0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Gentlemen:
VVI. We hereby request permission to install the house lateral
}' a: of greater than two (2) percent and/or in accordance with the
•;=t above conditions at no change in contract price at the following
loca-cion:
pfF
yy
:t x
3 t,
Requested by Lisbon Contractors, Inc.
w£
Approved by W.C.S.D. Inspector
Date i,/ /,_/ ey
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