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HomeMy WebLinkAboutLat_18122ShawleyDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAT*aER SYSTEM Permission is hereby given to: i _L V 4 3. i . 1'laiT-'I ll For Property Located at: Route 6, Box 255, Owned by: _ H. MartiT? Address: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee gerst©wn, Maryland Route 6., Box 256, ( 1) Units $620.00 PERMIT NO. DATE _A/.1/ 04 SUBDISTRICT No. 15 a.11e/Orai'l rd. Hill S 4.Li4U crstown.M 21740 To Main Line: Other Industrial _ Date Paid 9/l/94 To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Secretary -Treasurer Building Permit No INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY:�, a, 1 y ` c�[�� -� ��^� Date Plumbing Inspector OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: _ Date DISTRIBUTION: Permitt Plumbing Board Field Offic ` WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: 'liver H. Martin PERMIT NO. DATE _ 6/l/84 SUBDISTRICT li©. 15 .1 la/Orchard Hills For Property Located at: Route 6 • box ``��' ijagerBtt�TiiC1. Maryl=d 2.1 740 Owned by: Oliver It. Martin Address: Route? 6, '$oz 256, H paratomp MB Type of Connection: To Service Connection Type of Service: Residential` Commercial Meter Size Connection Fee To Main Line: ( �.) Units Other Industrial $620.Ot Date Paid 8/1/84 21740 To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Secretary -Treasurer Building Permit No INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Final Inspection Made BY: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Plumbing Inspector Date OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: Date DISTRIBUTION: Permit Plumbing Board Field Offi 0 CISTERN Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S _ 256 ,,,��-.�__ :mad Property Address: �$ 12-� �hau�12Y Dri'VC MH 120 to MH 121 Dwg. #601-054 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. 44 ' 531 (256) �.oc.PTE gAs� _ a PT 0 8" SAN. 0 3 - MH SDI The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property line so as to facilitate, and male 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: j O C — "2 _ N- \ a - - `- _.._ Owner (Print) Owner's Signature Attest: �%. Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 ''A5HIN—UTON COUINITY SANITA"'"' DISTRICT SANITARY SEWER LATEP,'? UASHINGTON COUNTY, MD. CONSTRUCTION RECGRC Project: Mau oansville Orchr,rd Hills 5015-1—S � g � a a Shaw tey Drrve Street (or location): W Zr/M /ZO Contractor: Call s Contractors Inc. Date Installer'• �4c�q�cr5 / Z5', /R53 rr ,S"3 / MH /ZU - TO MH /Z/ Wye Sta. On Hain Zt (� 4.7 IdYE SIDE SIZE— TYPE PIPE) TYPE --- C DEPTH C.O. TYPE--- LATERAL EXCAV. LENGTH LAYIFIC: LENGTI! _ _ $ "y �, y8'" ?vc. PI/ C. 13.2-91 Std, I7. *Horz.= Total --S ope+ Horz= a: Drop NOTE5: Depth of Cleanout nFleu Line Cleanout /2.50' From (�, M41n(CJAI 5EulC2 Layed Q, /.d Basement Service MH;;,-' /ZD Amounts pertaining to work completed this BY L'CS i)�C �07 5rA. 2-t . trU f,1Hlt /Z/ pe od, reviewed_IA Con:�ractors step.