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HomeMy WebLinkAboutLat_19309SmallwoodTerraceWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.0- BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEaVATER SYSTEM Permission is hereby given to: David H. Bary, For Property Located at: © Rowland Ayenue Owned by: David H. Barr Address Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size !Z PERMIT NO. 568 DATE Z' SUBDISTRICT No, 1 6 Bowland Avenue, Hagerstown, i,i0 2174C, To Main Line: Units Other Industrial Connection Fee ';720.00 Date Paid 4/3/85 To connect to a public seweragesystem (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. r Secretary -Treasurer V 4--) �s 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 lnsgct7or 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: Permittee L Plumbing Board 3 Field Office �- City of Hag.__1 __ WASHINGTON COUNTY SANITARY-'STRICTSANITARY SEWER LATERA! WASHINGTON COUNTY, MO. ONSTRUCTION RECORD CCNT;.AZT 5D45-3-5 Project:amu=-'�UGQkjLcRCyARO HILLS 5AIJIT�Y2Y I•t�vy �ma�/k�oad T�racl Street (or location)/oz/ �L)I !-J Contractor: L136UyLVUTRACTOR3 MH /O« TO MH /0/6 i% Date Installed Wye Ste. On Main 5 Lr W I6 %11«— i TFL ULPTH TYPE __— EX AU. AYIN IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH 8xcX8. 6•sve�v_vc . c -sore tea; 7vv *Horz.a Total St I d. ope + orz= i NOTES: Qrop I S'�cwo t:K 9. I I '?oZLLAAJC> 4VA—_ /3. MA/AI J:l "-hGH z= G G ��b Z'artAo4CAP Bax` x6' 504, 3� TECt 3S Tt> x_6 'd Depth of Cleanout 8.70 vF . ®Flow Line Cleanout 15..4- Fromm m4/A/ Layed ® 2sru81;C4c = --Basement Service ` a MH{ eon MHS/o/L �dW(, prv[;AVE,.. Amounts pertaini o completed this periodv reviewed and approved. WCSO Inspector Contractors Rep. ___Lc. urcr_A Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-5 Property Address: e I 309 5rr,,�tin,�, J T-Qirrctc c. ISH 1015 to ISH 1016 DWG. #6D1-365 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. 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. Owner � A 'W are Owner Attest: l a_ s Qlzo//0 Wash. Co. Sanitary/,District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON, COUNTY SANITARY DISTRICT 33 West Was 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 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: n t s—c��L �-+4 i �✓24�. !�/6 Y� H KI -7L Requested by Lisbon Contractors, Inc. ��---� Approved by W.C,S.D. Inspector w _ Date to /M 0