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HomeMy WebLinkAboutLat_13608RockcliffDrivev�.'ASHINGTON COUNTY SANITARY DISTRICT / 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 PERMIT NO. DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: I For Property Located at: Owned by: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: Connection Fee To Main Line: ( ) Units Other Industrial Date Paid To connect to a public sewerage/water 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 PlumbinVe�c 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 Hagerstown, Maryland 21740 Final Inspection Made By: DISTRIBUTION: Permitt Plumbing Bo Field Offi Date WASHINGTON COUNTY SANII-AY DISTRICT SANITARY SEWCR LATE',; WASHINGTON COUNTY, MO. CONSTRUCTION REConr., Projects MauasnevilleArchard Hills Sanitary Sewerage Collection Svetem I.3Le� Street (or location):,. ell CzLI`F- Contractors Date Installed 6"xC "X NOTES: &"SOR 2(o RYL MH 584- TO M Wye Sts. On ftln©i-ef- JL4 I Drop I �zn/ . i�- Depth of Cleanout •Flow Line Clesnout 2 S From 't-- M41x1 Layed • Z S ASTER 0201 • ti' Basement Service S�u b - : 6,0 P -- �, • C:p_ �V Z.w TO r Amount s in n0 to work completed this per&odg reviewed and approved. By Inspector Contractors Rep. Washington Couaty Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 1�L,OK Contract No. SD15- 3-S Property Address: ;!< Rockcliff Drive MH 584 to MH 585 DWG. #601-315 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. o 0 01 MH I R/ - SD15-5 4 a � ( 5) ( 7). l -7oOCJ B" SAN._ JDMH SD15- 585- R WW 8`t SAN 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. P r _ Date: O� S/d r -3 rlf Al Owner/ Own Attest: � �` Wash. Co. Sanitary _strict (Form WCSC-1) Replaces Form WCSC-56