HomeMy WebLinkAboutLat_13506SpriggsRoad,VASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 53v
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE ' ma r c h 12, 1 'j v J
P.O. BOX 571
SUBDISTRICT N0 • lb
PERMIT TO CONNECT TO PUBLIC SEW ERAGEIWATERSYSTEM i4 c3 U g d n 1 rd H 1 II S
Permission is hereby given to:
Oliver L. Ausselman 5.506 9Ch600S QQA
For Property Located at:
2153 Rowland Ruad. r- iaaerstown,Maryland %1740
Owned by: Oliver L. M u s s e l iii a nAddress:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
2153 i'.owl and Road, Hagerstown, M0
1 ) Units
To Main Line:
Other
Industrial
21740 I
1
i
Connection Fee $620.00 ` Date Paid .iiacCh 1 , 190
To connect to a public sewerage"trWX 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. ` f
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: Date2/
Plumbing Ins ector
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 Plumbing Board
Field Office City of Hacg._1
60
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
C �A Contract No. SD15- 3-S
Property Address: � � G ,;,,? ���+ , _,��_ )3566 a0rig kpoJ
SIH 615 to SIH 616 __ DWG. # 601-302
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.
R/ W
N. C YY-- _
— n r
lI I
^� I II 758
(2 I ) j l C1 (2153) I I Q
LJU,
1 J
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: �ao ��3 / trCr 1. V55'C0V C I _.
Owner
Owner
Imo" Attest:
Wash. Co. Sanitary _strict
(Form WCSC-1)
Replaces Form WCSC-56
AW.
PASHINCTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
RECEIVED
WAS,911%TCN CQIJNTY
SANITARY (;iiK"MSSM4
To: Lisbon Contractors, Inc. �4
GC4SPECTOR DATE
I hereby request the contractor to ins Tateral in +
accordance with the following conditions:
IN` -TALL LATEPYAL AZ: 2%, , (IAX11L lV 4 ®j5x77/-N
r,
... Address_
r
Signed/ &A,
ro er y Owner
Date
Vashington 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.
4pproved by W.C.S.D. Inspector
Date Z� `� ! i
WASHINGTON COUNTY SANITARY t TRICT
WASHINGTON COUNTY, MO.
IANITARY SEWER LATE',"'_
aNSTRUCTiON RECwn
Projects, Mauninev111 /Orchard Hills Sanitary Sewerage Collection System
Street (or location): ,AI -751b 0 lie Pr L h-7"
L s CP r g�5 (door-<�
Contractor: Lisbon Contractor._ Inc.
i
MH 61s TO MH bib
Date Installed q - 4- E�4 Wye Ste. On Main
T
8"x6"K 6" 16"60AZ0(, ga4C.
F- 10.16 vF St'd. 15,70 Lr -
Drop /
NOTES:
Depth of Cleanout 10.7 v,F •flow Line
Cleanout t0.07' From ma��
Laced • z .
• i� 8asewent Service
�;)
r STA • Z+ e4 KT-
•25fub srG�y
z.= Tota
12-607 LF
M" 61(,
Amount• pertaining to work completed this periodo reviewed and approved.
By
Inspector contractors Rep.
r