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HomeMy WebLinkAboutLat_19301SmallwoodTerrace;.,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/1 M(STEM PER NO. 600 DATE SUBDISTRICT No 1 — l'LUGialv�VILL/ORCHAI) HILLS Permission is hereby given to: t,ati" er "r`` "' take] For Property Located at: 12 Rowland Avenue Owned by: CaLherine G. .Bake:" Address: 12 Rowland Avenue, Hagers-LWP.rr, 1,11) Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee To Main Line: Units Other Industrial o2u • Uu — Date Paid To connect to a public sewerage 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. Building Permit No. t Secretary-Treasur r a' 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 s Final Inspection Made BY: Date Plumbing Ins or 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 3 Field Office 1 Date City of Hag. 1 Awlh WASHINGTON COUNTY SANITARY STRICT WASHINGTON COUNTY, MO. -004 SANITARY SEWER LATERAL CONSTRUCTION RECORD CONTRACT 5D/3-3-5 Project: kfAQG4QZiVJ6Lg—RC ARQ PIL 5AM17ARy EWER PROJECIT ! 30l email ward %Z/rccc2 Street (or location): eAT 1 /0i9 4� .-z,;� Contractor: L13euN Coxi-rRACTUR MH ioz TO MH /off J Date Installed. B3 Wye Ste. On Main WTL IZE JILL— TYPE PIPE 1 TeL C.O. ULYITI C.O. 1 TVL LATERAL LAt.MV0 LENGTH LJATIVJU LENGTH 4oV.4--. *Hort.= Total Stud. /5.3(o L.F, ope + nox t I Drop NOTES: cE141A1 LINK FEAr-e owl 2 ' 3ruT9' 4CCAO N Depth of Cleanout dO VF ®Flow Line Cleanout !3. Qo' From:71M /A/ Layed 0 Z—....... Basement Service 5' 2•�TVr'S GA f.7 i5.4.' MH#ioz4- ©c6z.S LT MH# �02� Amounts per inQ to Work completed this perio , revie ed and approved. BY WC50 Inspe for Contractors Rep. Alk' ..VV*A Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 Contract No. SD15- 3-5 Property Address: d- A A 19301 SmptI1u,)ood —le rrac4e 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. 184IC SEWE SEE I y 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: 5- - 83 ed �4 rJ- 1 il%(�;> 03--N— Owner r1� Owner �' dtiK�Y Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 0 2W Oi 3 to 0 o r Q h IOI9 116 QD 184IC SEWE SEE I y 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: 5- - 83 ed �4 rJ- 1 il%(�;> 03--N— Owner r1� Owner �' dtiK�Y Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 w (301) 791.3083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: i Address Signed,-• ,� «-�� Property Owner Date-----//-- 1.7- -- SL 2 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: Requested by Lisbon Contractors, Inc.-��, Approved by W.C.S.D. Inspector _ l�,i�l5 LII. E:fob Date 1 I —1 Q� s-Gbl!�o