HomeMy WebLinkAboutLat_13619RockcliffDriveWIINGTON COUNTY SANITARY DISTRICT
33 W. Wf JN STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 5
PERMIT NO.
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEM ATgR SYSTEM 2 {Qa U y d ri d i z ie / u
Permission is hereby given to: harry F. Bottorf, Jr.
For Property Located at: 2308 Rockc l i ff Drive, H&C,- s i Own, Maryi..and 2'174:.
Owned by: Marry F. Bottorf , IDAddress: 2508 Rockc i if ->~ Jr. , Hagerstown, MP i it 1,j
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
p620.00 Date Paid
To connect to a public sewerage/watgr 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.
5
Walter No. 6-,3"-8240-2 Secretary-Treasur r
BuiI(WAg Permit No. /Al
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 46 AT
Plumbin pector
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
Field Office
Date
WASHINGTON COUNTY SAN RY DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE
CONSTRUCTION nEcoi,f'.
Project:_ Mouaeneyil_Orchard Hills Sanitary Sewerage Collection Systlm
t,j
Street (or location): Z— E, r,
Contractor:` Lisbon Contractors Inc.
Data Installed 9/14 (e4
MH TO MN vr8<v t/
Wye Sts. On Main
.
C5 K IC -11 x (- - � V St1d. gz-,(
NOTES: Drop
i x
LENGTH
FHor=.- Total
Z0.
ope ♦ or
Depth of Cleanout _(f arlow line
Cleanout„ From
Layed 0 2-„!%
• -)(E-5 Basement Service
O-fo 5 s 7.
5�C,
Amount r ninq to work completed this period,/ a edtand approved.
8
Inapec or on rac ors Rep.
-*,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
1-5G(1
Contract No. SD15- 3-S
Property Address: 2K8 Rockcliff Drive
I N
MH 585 to MH 586 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.
J. IDMH SD15- 58r-- 811 SA
--7j
MH 3D15-586
--4-2 w -
R/ --
629
(%) (2308) ( )
U
ATE: L a c- it NIV
3 'VoeT'H a� wATL&L Mr7r-A
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.
r _
Date: $3 14ARAY F B07 -7-V t --
Owner Owner
Owner
Attest:
Was o. Sanitalfy District
(Form WCSC-1)
Replaces Form WCSC-56