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HomeMy WebLinkAboutLat_17945ReiffChurchRoadWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE)WATER SYSTEM ^ 45 Permission is hereby given to: F • i7CCK Ih e1 1 For Property Located at: 'k T • #!= o, B 0 X 1 Owned by: _ _ OOCKTER Address Type of Connection, ,To Service Connection Type of Service: Residential Commercial Meter Size PERMIT NO. oty DATE SUBDISTRICT N Q • 15, i4augansvi l le/Orchard Hi i 1s iRT 46 (ii 172a, �4\oEi2sT. Mi J Wain"Line: ("i ) Units \�\-,,,To_ 146strial Connection Fee 0 =' u • 0 �j Date Paid 3, To connect to a public sewerage/vVaXdK 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. Building Permit No. Secretary -Treasurer (J G� 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 44eitor 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 Board 3 Date Field I Office City Of Hag. 1 "�AHI dGTON COUiNTY SANITARYrIkS-NRICT UASHINGTON COUNTY, MD. .SANITARY SEWE? Lt-" -i - E CONSTRUCTION Z_CC ,;J - Project: Maugnnsvillezorchcrd Hills S015-1-5 Street (or location): 2T v Sox ►,Z3 AZ 234 Contractor: Callas Cnn-rector-- , -Inc. r, H 3 485TO MH 3 8 6 ...--- Date Instail_er l - L 3 - 4 - �l� e .eta , i r On Main -11 -4; L P—_ WY 17 SIZE- ! TYPE DEPTH TyPf- � "EXCAV LAYti:�: S -1 -7E• E TYPE PIPC.O. C.O.LATERAL LE - � ---- L.E. a..� b •� 8• 6 ., PJC. *Herz.=`To'ta1. PJC. S. 14.6 vF Stud. LZ. 41 cF S00 3S So a- 7-140 2-3. 37- L -F ��.iKixivrw �wvi 'l.Ei.tc fm *91ope+ Horz=i Drop NOTES: C-0. 8 s le &J 2 P-1 A L J Depth of Cleanout s . 1406 v° `Flow Line Cleanout 77-. 114, LF From SE%Jee. L_ayed @ N A Basement Service 1 C.o. S-0-4 I+11.T MR,' 38 S Fl.o.a Amounts Pertaining to work completed tris period,reviawed and approved. 8YA&i UC50 inzspec•tor !J C:on-Tactors teP. 1 i i—r- , AMI► Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 1-19 4S Re414' C+11'w � Qoac1 Contract No. SD15-1 S Property Address: t. #6, Box 172B Reiff Church Road MH 385 to MH 386 Dwg. #601-061 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. 8SAN 30, W DMH SD15-385 �-- R/W I I I I I 234 2 2 (RT 6 B RT. -BOX 172 B) O C ) i I 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: 2 3r /%Ol/ / l >'3�.©/ �� I' 2 _.._ Own (Print) 2- Z'_ Z_','274dzL Owner's Signature Attest: _ Uash o. Sanitar Da_strict (Form WCSC-1) Replaces Form WCSC-56