HomeMy WebLinkAboutLat_13611RockcliffDriveW S,F NGTON COUNTY SANITARY DISTRICT
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WASHINGTON STREET
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
PERMIT NO.
DATE 10/-17/65
No. l5
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Mau0ansvi ie/Orchard Hills
Permission is hereby given to:
ziurner
For Property Located at: 2304 $ockcliff Drive, Hagerstown Maryland 2L740
Owned by: Gordon U'urner Address: 2304 Rockcl iff -Dr.., Hagerstown, MD 2.1740
Type of Connection: To Service Connection
Type of Service: Residential —
Commercial
Meter Size
Connection Fee
To Main Line:
( ) Units Other
Industrial
�•Uv 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water No. 15-823.0-5
Building Permit No
Secretary -Treasure t C
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
Plumbing Inspector
Date
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 Bo
Field Offi
Date
WASHINGTON COUNTY SAN iRY DISTRICT
WASHINGTON COUNTY, MO.
Project: Mauoanavi
Street (or location):
SANITARY SEWER LATE
CONSTRUCTION REC(►i"!
Contractor: Lisbon Contractors. Inc. 750 rdCyl ►�''''rr�
MH TO MH �8
Oats Installed_ 1184 Wye Ste. On Main
$x.9 x G,
7 -if 7E
N
aA&L� Irl
TYPE PIPE1 C.0
(I" S.D2 Z �- 7 VG
7)\1L
j`j. 7 I St'd. I fa,
X
V 16.091 V a flu
TH LENGTH
•Hors.• Total
ops ♦ orz•
Depth of Cleanout /5.0 7 •Flow Line
Cleanout 17 rrom 1;14,,1tet-.,L14f
Layed • 0 %
• \/6 � Basement Service
=J
Aaounts pT\rtaining to work completed
8Y
WCSD Inspector
MHS .5,r S
this psr&od,,v s a approved.
on rec or•Rep.
^'"
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
I
3Ct'I Contract No. SD15- 3-S
Property Address: 4 Rockcliff Drive
MH 584 to ISH 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.
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. .,
! 6�'
Date: % b K
Owner
Owner
Attest:
Wash. o. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56