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HomeMy WebLinkAboutLat_13503RoyalRoadWASINGTON COUNTY SANITARY DISTRICT PERMIT NO. 860 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 DATE 19D/04/ T SUBDISTRICT No. 15 — PERMIT TOCONNECT TOPUBLIC SEWERAGEAWSAi(kASYSTEM MaUgansvi 11e/Orchard Permission is hereby given to: Jacob C. Hildebrand Hills For Property Located at: 2300 Royal Road, Hagerstown, Maryland 21740 Owned by: Jacob C. Hi Idebrand Address: 2300 Royal Road, Hagerstown, MD 21740 Type of Connection: To Service Connection To Main Line: Type of Service: Residential X ( I) Units Other Commercial Industrial Meter Size Connection Fee $6aU.00 Date Paid 10/04/x35 To connect to a public sewerage/4KNr 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. Water No. Unavailable UCA�, Secretary-Trea*d", 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 �Z�/ 6i zx�� Plumb' Inspector 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 1 Plumbing Board Date Field 1 Office 1 City of Hag. 1 WASHINGTON COUNTY SANITARY DI. AICT WASHINGTON COUNTY, MD. NITARY SEWER LATE0 LONSTRUCTION nEVIRr! Projects Maucaneville/Orchard Hills Sanitary 5suaraoe Collection Systgm Street dor location): _ r,.4I (v 55 Contractors Lisbon Contractori._lnc. Date Installed S ' 14-0-4 8"X(, "x NOTES: V'60RVe F7YC.- )q VL I 11,16Vr I St'd. 11.10, LEE 2'Slub�p Drop 14.33 6 "SOR 2 (� O_Vcl 2,5704-5* 04= r7d _ ow Depth of Cleanout 11.18 vF• OFlov Line Clesnout Z f -4D ` from� IQ eyed 2' J` x AfrTER 02or> Basement,service MH 5 Z- T 0 MN 565 Wye Sts. On MainIf 49 5 26.4-0 L.r, M4ikf 7 I,.2 �u(�SGup Z.- foto ;0101p+ 140.33= 201,53 4.1P. SrA. 1+4Z6 LT, MND 565 t Amounts pertaining to work completed this periods reviewed and approved* By nspec or Contractor* ep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 3t4Oj Contract No. SD15- 3-3 Property Address: 2X Royal Road MH � to H1H SPS DWG. #601-310 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. 161' SANS F- � J 655 (2300) �a M I � m x f DMH SD 15-565 Raw M 8„ Sar.. 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: �'��E 7. /So3 � C 013 %(1L,01= 13 AdNA9 —. Owner r Owner Attest: 01 Was Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 (-.p?-7 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: Date ; i f Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S Gentlemen: 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: 0L Requested by Lisbon Contractors, Ince - YTLL Approved by W.C,S.D. Inspecto.-_ �5- 4 - Date