HomeMy WebLinkAboutLat_16848PetmarCircleA�l
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WASHINGTON
33 W. WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAXER SYSTEM
Permission is hereby given to: Paul 0. ouch
For Property Located at: 210 Petma r Circle
Owned by: Paul J Couch Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
1l
PERMIT NO. 758
(301) 791-3083/3084 DATE _7/19/85.
SUBDISTRICT No. 15
Maugansville/6rchard Hills
To Main Line:
1 ) Units Other
Industrial
Connection Fee $620-00 Date Paid 7/19185
To connect to a public sewerage/*AOt 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. Unknown
Building Permit No.-
P
Secretary -Treasurer ,r�,& 0 'dao -
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumbin Spector 1
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 1 Plumbing Board 3
Date
Field 1 Office 1 City of Hag. 1
WASHINGTON COUNTY SANI" ,-. Y DISTRICT SANITARY SEWER LATERAL
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: A--( .-wE i oP�uae� �i=ta S
I Le
CbV
Street (or location): eta' `+ -r"A2 C-�-2LL-E G�
Contractor: G. W. N elT"
MH S-70 TO MH S '71
Date Installed 8 - Z - 55 Wye Sta. On Main a +
8 -S -gam
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
LAYING LENGTH
TYPE PIPE
C. 0.
C.O.
LATERAL
LENGTH
t�UC.
5--76
Horiz. = Total
soe 7-(o
ST'D.
¢o.0 L.r
38. 7 [..c
Slope + Horiz - otal
NOTES: �
DROP
8 Se.,.i' Ce -
Depth of Cleanout S. -7 8 V• F. at Flow Line
Cleanout31., -7 1,F From Se icx- MAC.
Layed at / 00 070
YE -S Basement Service
CA99Co
ZJ
MH MH#
Sio 45-
C.O.
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
`. !C -UST 13, 1984 S- 29
C o e ,? !'0L vE &j 7b oL#VMR. 6 - 9 8 3 'ftA.
Washington County Sanitary District
pt- eAS 5%�J �'''= 5 s`1��`= SEWER SERVICE LOCATION
G02
Subdistrict No. SD#15
A 4 0 -rH E ase +e A 5 OG Ear a F►.� . —
AS AEX P=.JC-0 -4&J Contract No. SD15- 3-S
le E -r u Q.J TO T }4 , FSE CX> o Gc Zc.E .
Property Address: Petmar Circle
�''� is s'1 1 •
ISH -Fra to MH 5--1,2 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 ow-ner'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:
Attest:
(Form 1,-
Replaces Form WCSC-56
i
yJl
IB" SAN .
731
O
LO
LO
(210) j
( 0 ) o
U)
- - - - --
---- 4- - F -
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 ow-ner'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:
Attest:
(Form 1,-
Replaces Form WCSC-56