HomeMy WebLinkAboutLat_13526SpriggsRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O;;,VX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEItJ ATFAR SYSTEM
Permission is hereby giv(
For Property Located at:
PERMIT NO. 906
(301) 791-308313084 DATE 110/30185
SUBDISTRICT N o • 15
Maugansvl,t,�iucchard Hi It.
Owned by: Walter ii. Cornelius, Address
Jr. X
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $UQ - 00 Date Paid t0/2t)/A5
To connect to a public sewerage")eX 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.
eater Account No. 0-15-7235-0
Building Permit No.
/?a �� 4 -'D
acwQ
Secretary -Treasure PAA
0. '1 �, -
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 Insp or
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offic
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
AIN
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: ,.2?1-7 R9w1Rnc---Rr-i�ve )35Q& pr,'A4s Poed
MH 611_to MH LL4 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.
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. Q
Date: _.
Owner
Owner
Atst:— -
W Co. anitary District
(Form WCSC
Replaces Form WCSC-56
t
WASHINGTON
a_---.-1�
33 West VY
COUNTY SANITARY DISTRICT
ngton Street, Hagerstown, Maryland 21740 a (301) 791.3083
RECEiVELj
WASHINGT , I 'OWNTY
SANITARY Cv,•►..•I��ION
INSPECTOR �— OATE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Mo
J
Address_ e2 17 'Roy,; In Md -RA:
r
Signed':`7°10-1 %O(o
Property owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217110
Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Re:
• 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 C'
Date ��%%
WASHINGTON COUNTY SANITARY P 'TRICT
WASHINGTON COUNTY, M0.
Projects Mauaon
Street (or location):
iANITANY SEWER LATE,'',
,ONSTNUCTION RECiwn
Contractors UstLon Contractors. -Ing, - I
MH tf T 0 !NI f� �-
i
Date Installed 2(, Wye Ste. On Min 1489 F34.
Depth of Cleanout 3.74 V. P.
Clesnout /7 7c> From ���
Laced 2 x AFTER DizOf
•PV -56/8(-15 easement Service
MMUMMOMM.
of
low Line
P
I
r
Amounts pertaining to work completed this period, reviewed and approvede
wCso Inspector on rec or• ep.
i�