HomeMy WebLinkAboutLat_16864PetmarCircleIINGTON C _.
COUNTY SANITARY DISTRICT PERMIT NO. 1/b
/33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571
P.O. BOX 571 (301) 791-3083/3084 DATEJ y
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM SUBDISTRICT No 15
Matagansv:t z Ielurchard Hills
Permission is hereby given to: ('gnm ( u g, � lD
For Property Located at: 202 Petmar C i rCle Hagerstown
Owned by: Same Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size Connection Fee $620.00
._ Date Paid 5
To connect to a public sewerage/fir§(tgr 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 O,yVNF
15-3810
Secretary -Tr urer
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 I ector
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 ` Plumbing Board `'
Date
Field i Office City of Hag.
WASHINGTON COUNTY SANITARY E
WASHINGTON COUNTY, MO.
project:__ aua,_ng_i
Street (or location):
TRICT iANITARY SEWER LATE:,.
ZONSTRUCTION REC(liu-,
i LP lc(s
fnS-
Contractor: Lisbon Contractora. Inc.
MH__�T 0 MH 5 !�R ✓
Date Installed ¢ {
Wye Ste. On Main
w-� E
See 35
NOTES:
.
I 10. up ur I Sttd. I 2(o. 8 L.G.
Drop
Depth of Cleanout io.-i(o
*flow Line
Cleanout 22.5 F rower Alki
Layed • 2.00 %
YES 8esoment Service
Sn , v + -11. 5 QT
LENGTH
Hori.- Total
lope 4 ofte
p 7 I M" J (.6
-25,Fub c;G�P
Amounts pertaining -to work completed this periods reviewed and approved. r
By
Inspector Contractors mop.
Aw-
e-10
WashingtcliNcounty Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: _ t Petmar Circle
SIH 567 to ISH 568 Mir— #6ni—sng
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. /� 4
Date: ��' ��/ ' a `� • --
Owner
nn Owner
Attest:
J
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
157- N
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance With the following conditions:
Address ZoZ 'PF--r-"Ac c=ec-c-E
Signed
Property Owner
Date 9- 19-84-
Washington
9-84-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re:
Gentlemen:
Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
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:
a, r—
.f
Requested by Lisbon Contractors, I
Approved by W.C.S.D. Inspector
Date 9_ 19 - & ¢