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HomeMy WebLinkAboutLat_16831PetmarCircleV 'dINGTON COUNTY SANITARY DISTRICT PERMIT NO. 753 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084117/ P.O. BOX 571 DATE 65 SUBDISTRICT No. 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Maugansviileiii;chard Hills Permission is hereby given to: James V. D a Cit i c o For Property Located at: 207 Petmar Circle, Hagerstown, Maryland 21740 Owned by: James V. Dam icO Address: 207 Petmar Circle, Hagerstown -, 'AD 21740 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee X To Main Line:_ 1 ) Units Other Industrial $620.00 Date Paid To connect to a public sewerage/WXOT 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. 015-8940-7 / G�+L�r'Z�•(� I7/r Secretary-Treasuf� Building Permit No. y �( C 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 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permittee i Plumbing Bo Field I Office I Date City of Hag. 1 WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWCR IATEO,"'_ WASHINGTON COUNTY, MD. CONSTRUCTION REC(mr, Project: Maucansvil e/Orchard Hills Sanitary Sewerage Collection Srstso.,� Street (or location): e-,4- 7 4, -PeT WA 0- crzc(-E. T.v. -DA►Mr� Contractor:Lisbon cont&&ctars_ Inc. MH S(.9 T O MH 5 70 Date Installed 2-17- A4 Wye Ste. On Main 0+C18-3 1-4. WYE 51ZE— TYPE DEPTH TYPE "Zxcoxlv*- MING ME TYPE PC.O.LATERAL NTH LENGTH e X� X e soR z� RyU- *Horn.WYE SVC 35 r-'- • 5. 9 %J P Stud. -SLOW t nors•Toia NOTES: Drop 4.8s Zz.4 M4 � Al 11.9 L•F. i 1.9 v.f• 6 "3DR (o RVQ f . 45'Bend '" • 2'�ub P 4" reA�s=.F W47 F3 w/ AX -3 , Depth or Cleanout 5.113 vl-�_*Flow Line Cleanout 22.4 From 4-- MAUI �•� layed • Z. oo % AFTER 020fD • YF S 8asewent Service Mf5,.:- ".-) -0 51u6 4 Gu p SrA. a4 98.3 r Aso uIZ- tains to work completed this period, reviewed and approved. By r A— � � �` UM—Inspector Contractors Rep. 5a Copt' &1')" G �• �DGA T14� Washington County Sanitary District SEWER SERVICE LOCATION 11 Subdistrict No. SD#15 1(x$3 1 Contract No. SD1 5- 3-S Property Address: X9 Petmar Circle MH 569 to MH 570 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. R/w IB" SAN. C I � oLO 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: V. D'4wt1C c) Owner a _ Owner Attest: 1 Was Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 T A/W WASHINGTON 33 West 5Gc! - 570 COUNTY SANITARY DISTRICT ngton Street, Hagerstown, Maryland 21740 • (301) 791.3083 n To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: r Address Zo 7 P Z A i 4e ,'ac (_t M Signed_,gI Property owner Date 6 Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21740 Re: Maugansville/Orchard Hiiis Sewers a Contract No. SD15-3-S • 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: S u (3 �� EC --r u W q7"E 0 L i Nz D€P 7W • i Requested by Lisbon Contractors, Approved by W.C.S.D. Inspector Ell Date