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HomeMy WebLinkAboutLat_13513SpriggsRoadf WASHINGTON 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 G� c,��M Permission is hereby given to:y 35th vLJillVVl S For Property Located at: Owned by: Address: Type of Connection: To Service Connection To Main Line: Type of Service: Residential ( ) Units Other Commercial Industrial Meter Size Connection Fee _ 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 In ctor 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: Permitt Plumbing Bo Field Offic Date 5a Prop erXy -A%_d4eY'ess : Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S . 13519 Steri act ] nn 4 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. _ y I I I I I � I I 763 I I I �(2 ) 1 al I2208) I (2L"R) 2 W H SD15-615 8 S N. n �� _� Q E I� (Xg) I li l (2 5) 11 Ci A3p. 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 oi.Jner's connection to the lateral and to prevent damage to the cleanout which will be installed by the Dis rict at or near the property line. e / l D ate Owner Owner Attest: f �/ �Lz Wash. Co. Sanitary District 2 .� (Form WCSC-1) Z'6'xe c::?� Replaces Form WCSC-56� �,,G��lil'IP.,- (� WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740• (301).791x3083 'Y ' ....' To: Lisbon Contractors, Inc. ` I hereby request the contractor to install the lateral in accordance with the following conditions: Address Signed roper y caner Date :;� ZZL "Washington County Sanitary District 33 West Washington Street Hagerstown, . Maryland 21740 Re: Maugansville/Orchard Hlja 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. t"(. Approved b W.C.S.D. Inspector pp Y p i3�a, Date WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWCR LATCH'. WASHINSTON COUNTY, MO. CONSTRUCTION RECnim Projects Mauoinsville/Orchard Hills Sanitary Seueraof Collection Svs&1m Street (or location): r,Ql 7Co3 Contractors_ _ Lisbon _Contractors. Inc. 1.515 9�s jam, Date Installed 9-5-54 ©"xC:'x B" 1&"5aR 2(0 RYU. MH &1f5 TORN Wye Sts. On Nein, 04-24.5 �. •Hors.• >7 + Z3.b0 Z 7.67 L,►F . Depth or Cleanout 5. GO ✓F 4Flou Line ~. Cleanout 2-4.30' From --t-- M4141 Laysd 41 AFTER G201=1 Basement Service fflf `' , " I , 'L 'SIub a: G• P 1 Srq. 0+z&15 L -r. } r Amounts pertaining to work completed this periodg reviewed and approved. 8Y 1 f WCSD Inspector C on t rec ors Rep, St1d. NOTES: Drop 29.30 L.F. MAIl�f 6 "5DR 2� RvL t I 45` He f7J 2.5 U b -"Cap •Hors.• >7 + Z3.b0 Z 7.67 L,►F . Depth or Cleanout 5. GO ✓F 4Flou Line ~. Cleanout 2-4.30' From --t-- M4141 Laysd 41 AFTER G201=1 Basement Service fflf `' , " I , 'L 'SIub a: G• P 1 Srq. 0+z&15 L -r. } r Amounts pertaining to work completed this periodg reviewed and approved. 8Y 1 f WCSD Inspector C on t rec ors Rep,