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HomeMy WebLinkAboutLat_13521SpriggsRoad`WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 791 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 P.O: B'OX17V .. b PERMIT TO CONNECT TO PUBLIC SEWERAGE/W.4M3 SYSTEM Permission is hereby given to: V 1 cto r C . Camobe l l For Property Located at: 2216 Rowland Raod Owned by: Victor C. Campbell Address: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size (301) 791-3083/3084 / / DATE 117 9 U SUBDISTRICT d0. i 5 oiaugat)svi ile/Orchard 11,j Ills J 2216 Rowland Road, Hagerstown, EY',G To Main Line: Units Other Industrial Connection Fee %62u uk) Date Paid " To connect to a public sewerage/�iWgr system (with proper abandonment of previous private system). The installation of the connection and the aband'oinment 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. dater Account No. Unknown 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 �Oe--�' Plumbing Ins for 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 Offi C,rtY wATM9- Zz1 l0 Property Address: Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD¢#15 Contract No. SD15- 3-9. 5-a MA MH 611 to MH 614 601- 02 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. f �i j I IX 765 c2 ) tate-) I I 1 'n E3 ( ) I RAW N w � MHSD15-614 (/ 3 8 SAN H SD15-` l IrL_'4 �- n-. w 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: _ to- 9- 83 Attest 1Owner L�_ Q her Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 e WASHINGTON COUNTY SANITV� DISTRICT SANITARY SEWER LATE,, WASHINGTON COUNTY, MO. CONSTRUCTION nECOi'%r! Project: Mauoensy Street (or location): n Contrnr_torw_ Inc. Contractor: Lisbo"., - MH t TO MH ► 4 Date Installed t p 19 Icy 4 oc lei- &P 41 H ee 14- e 71n 1> ° NOTES: b'•-5CDR 26 PVC— ?' --4 u 6 � Cop VC. 'Z'--Fub-E�;Cop C.0. LATERAL `>> Stud. Drop Z5 6"SD4:), 2(" RV.(f— J 4-S° BendS LENGTH Z7o 5L• F. HA ICU or :.= Tot Ota Depth of Cleanout *Flow Line Cleanout F rom-L),.AtU Layed 0 A¢TER beOP ,\ Basement Service 2 Sfu64,'CcrFe.._ N Amounts` tt I 0 to work completed this 8Y Inspector MH# 6: c 4 E r per.Lod, reviewed and approved. a !1t tr Llo Contractors Pop, I