HomeMy WebLinkAboutLat_13614RoyalRoadWASFttNGTON COUNTY SANITARY DISTRICT
33 W. W SHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO. 734
DATE 7 / 16 / 5
SUBDISTRICT 140- 15 -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM M E; Z4 .i d I 1 to / U r ch a rdii
Permission is hereby given to: Stephen `i Ciiafiles
For Property Located at: 2105 R+2ya 1 Road
Owned by: Stephen V. chafilo Q Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
`05 k u Ma -1 Rju c , Halters Lown, Iii 21740
To Main Line:_
Units Other
Industrial
P620.00 Date Paid
To connect to a public sewerageNv eq,r 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 Account No. 15-8005-1
Building Permit No.
Aniv,
Secretary-Treasu er nnA
i S.j
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
Z'� _.' , 2 -- ��7
ley
Plumbing Instor
IPA
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:
Final Inspection Made By:
DISTRIBUTION: Permittee j Plumbing Boa
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field i Office -city is f i i dg. 1
WASHINGTON COUNTY SANITARY OF `ICT
WASHINGTON COUNTY, M0.
Projects Mouoinevi
NiTARY SEWCR LATEi-:i.
NSTRUCTION RECwzrf
3ce�y -
Street (or location): ri
a z ti s -�cY.4 o
Contractors`., Lisbon Contractors, Inc. K rU ry, Chp,r > -
MH TO NN
Data Installed 3o ,-/u/c.! 64- Wye Sts. On Main oL(99,¢ R4.
T RA EN TH NTH
-Ab Aa' -soez6 Pv- . C'_oe Z6 iNor
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p�. 9 Z9V.F. St1d. ,
NOTESs Drop �� �� G•oot Z5.lD =3f �OG.F
N41U
"ss�a -r, Av
45• gam(
p
Depth of Clasnout 4• z9VF. OFlow Line
Cleanout z -7. 3 o From 4--"`�;�"� •---
Laced 19 Z AFTER D20A ,
• 66' easement Service
OW 56/ I � Sr -Z-4.
G.O.•
r
Amounts pe Ainq to work completed this period, reviewed and approvede
BY
Inspector Cnnirsc ors pope
�C+� f uen -Ij
t MQ 03
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
/ 3blq Contract No. SD15- 3-S
Property Address: 2X5 Royal Road
u. u.
11W1 ira.�i..[�1�1�
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.
r
(2 AM
0 /00Q
50
_ 56� 636
NIH SD 15 \ (2305
= c o o (2 0 f;
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. I
Date: 3 Ch ArytQs
Owner
Owner
Attest:
Wash. Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
U'1- S6z-4
WASHINGTON COUNTY SANITARY DISTRICT
( 33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
11 .,
0
Q
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
M
Date -L-1 i �-%
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 2170
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:
Requested by Lisbon Contractors, In
Approved by W.C.S.D. Inspector (-:5- 6
-1�
Date - - 31 /�//