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HomeMy WebLinkAboutLat_19306SmallwoodTerraceWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: r £t & t --- For Property Located at: Owned by: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: '7 1' cayl ;-nd A-1 oz -au a . Connection Fee To Main Line: Units Other Industrial Date Paid 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: _ Date Plumbing loifector 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 Hagerstown, Maryland 21740 Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Boa Field Offi Date WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATE','_ WASHINGTON COUNTYt MO. 'INSTRUCTION REC(ii,," Project: MawQansvillelOrchard Hills Sanitary Sewerage Collection System 1930C.n Senn / iLzc)6& 'T.!r,-aj:.-e / Lff G? R1AM/'M (AJ I TTS Street (or location) : ��;.� YOZ,:5 . Contractor: Lisbon_ Contractors. Inc, our of M.11 - MH 1015 T O MH loi6 & ZG5 U Date Installed Wye Ste. On Main /+75 Wrt SIZE J1[t_- TYPE PIPE ITF'L C . 01 uLrin C.O. 1Irl LATERAL %--.-V. LENGTH -.,..1. LENGTH G�DFT2(,vuG. "svFi26 zo *Hort.= Total St'd, 30.soc..F 29.95 L.)=, T^ ape + P orz=ct Drop NOTES aim 4-t- HJA-11- 404(o G"G.I. w�L. lo" DR 2!o ov-c- . -'J /00/1 Depth of Cleanout 13.22 Yg. ®Flow Line Cleanout 2,51.3' romp MA/ku ,,t= M.N./o>G Layed 0=0 -P0551BC.E Basement Service MHS# 1015 M # /0/(o(-,EAH.) Amounts p aining to work completed this period, reviewed and approved. B Y-- W D Inspector Contractors Rep. (r.,..,.. I.trCr_A ) MH 101(c eal� -�-''Z© Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15- 3-5 Property Address: l cl3O& mmol/wood `i2r,,act MH 1016_ I!{{ nWG.�n-3- 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. Ll TR Irli -- -- 11 R/W — 0 '" B��SAN. _ MHSD15-1016 _ a Wj a ( THRUST BL I C3 ` I 4 I 1025 ' q 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: -� �3 I�fl�P,PD "G id7"CrC_i�FrE 0 Owner —` Owifer ' Attest: `�. GL A, H /S Wash. o. Sanitary istrict (Form WCSC-1) Replaces Form WCSC-56