HomeMy WebLinkAboutLat_13502SpriggsRoadWASHINGTON COUNTY SANITARY DISTRICT
133 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: -_ iib i B J Smi. T` -
For Property Located at: << 3 f PCW I,; n d R o a d
PERMIT NO.
DATE
SUBDISTRICT
S f1rnti
Owned by: P. StoJ t Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
$620 • f' 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.
Water Account No. Unavailable
Building Permit No.
Secretary -Treasurer
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
i'
Final Inspection Made BY: L Date
Plumbing pfkspector
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: Permit
Fiel
Date
Plumbing Board
Office C i t of Hag. l
W
Mau. �rhN
PL4P_'>L1C_ W4Tse
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1c
Contract No. SD15- 3-S
Property Address:
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: (p �3 �3 �p w„v Q �vtt4
Owner
r�, - 11-i -Owner
Attest: -
Wash. Co. Sani ry District
(Form WCSC-1)
Replaces Form WCSC-56
6r�
i
WASHINGTON COUNTY SANITARY DISTRICT
4; 11
33 West Was
gton Street, Hagerstown, Maryland 21740 • (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
f�Cclf {, pTr Z i lr� i ]`r3 �-� b -T-0 �} PP L' 1 Ik4A
/}A, D hl 6 r2 gib "J,714 4
Address_
P -p A D
Signed
Property -Owner
Date o% / - ?4—
'Washington County Sanitary District
33 West Washington Street
Hagerstown ,.Maryland 2170 A
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
Date T �`'� �`7V
WASHINGTON COUNTY SANITAhY DISTRICT SANITARYWE E R AT O.
S L E _
WASHINGTON COUNTY, MO. �� CONSTRUCTION REC60r.,
Project: Mauamnsville/Orchard Hills Sanitary Ssueraoe Collection Swatgo
o
Street (or location): r7,4 r -d 750)
Contractor:.-- Lisba
Date Installed 9 - 4rZ4
112C L__TYPEPcoos CeofLATER
,trove---- & .6�IQ z& A«,
C-ftJNecn
M o f�f'1 10,16vF StId.
NOTES:
Wye Ste. On Min o too R4•
.
I b.Z.O LF
Depth or Cleanout 10.18 vF
eFlou line
Cleanout 13•rom�re�
layed • Z fl x
p+ Basement Service
iorz.• Total
15,6(LF
N A
`w
of' •.. f
Amounts pertaining to work completed this psr:odg reviewedSfbEand approved.
e Y
Inspector Contracrors Rep,