HomeMy WebLinkAboutLat_16836PetmarCircler
ASHINGTON
# 3317V.*AS4INGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT PERMIT NO.
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Maugansvi l le/Orchard
Permission is hereby given to: A r L fu -1 1
For Property Located at: 216 Pet -mar Circ!
2 `'
Owned by: + r` i i L r I Litten Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
216 Petmar Circle Hagers tnwr- !�"Q
To Main Line:—
( ) Units Other
Industrial
Date Paid
To connect to a public seweragelhMgr 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.
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 Inspe r
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 3
Field Office 1 City of Hag. 1
WASHINGTON COUNTY SANIT. DISTRICT SANITARY SEWER LATE:
WASHINGTON COUNTY, MO. CONSTRUCTION REC(►l',1'
Project: MaUO3nay
Street (or location):
Contractor:` Lisbon Contractors` Inc.r �" _e yl -
MH --,5-7 2 TO MH
Date Installed Wye Ste. On Main X13 fir,
WrL �1LL— 1 TFL ULI'1 n I Vri. F_A_rsV * b.•.. &—
IZE TYPE PIPE C.O. C 0 LATERAL LENGTH LENGTH
aHorz.• Total
8 )(8x6 SD.e z� _, ` st d.
��G
-reF-
NOTES:
•S1ope ♦ Harz-]
Drop2.00 Z3.00-
2�c_r, z,}o
Depth of Cleanout eFlow Line w,
Cleanout Z z, - Mom
Layed • Z %
• yLS 8asomont Service
=tt'�
MH# S ? Z
MH#J
Amounts er ainina to work completed this per.od, reviewed and approved.
8Y
D Inspector Can.tractore ep.
0�,.)a1/� HAS E.oP1(
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: 'X6 Petmar Circle
ISH 572 to ISH 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.
;Ka)
-( �'p,
i 734
(216)
/ (X
CO 44j
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. f
Date. Z /3
wner
I ; -4c, V,
Owner
Attest.
Wash. SanitaryDistrict
(Form WCSC-1)
Replaces Form WCSC-56
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:
pp r
•
�.. Address_
Signed .
Property Owner
Date
R RECEIVE
"Washington County Sanitary Distric I
33 West Washington Street WASHI;iGTO;J Cuu;"JTY
Hagerstown, Maryland 21740 Sr'1hI %� ?Y COM+`r;ISSlvt '
Re: M gansville/Orchard Hil s Sewers
C traa_
�- i
• Gentlemen:
We hereby request permission to install the house lateral
�f greater than two (2) percent and/or in accordance with the
Lbove conditions at no change in contract price at the following
.ocation:
tequested by Lisbon Contractors, Ink.
Approved by W. C . S . D. Inspector C"- " 0 a
Date y (S y