HomeMy WebLinkAboutLat_14119StoneRidgeLaneWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned bv:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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:� l� L Qeu,L�,.�J Date
Plumbing Inspector
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: _ Date
DISTRIBUTION: Permittee Plumbing Boa
Field Office
' i,.GTON COUi,TY 5!'t•1ITAP, Y DI5MiC TSr.f'rrf<s';Y SEt;r?
UASHINGTON COUNTY, MD. Am
CONSTRUCTION
Project: _Maunan,syille,/Orchrrd Hills
Street (or location 1givsoF�a lgifg GACZoC
SNo�✓��-rE¢ novo Z S39 �
Contractor:
C^ll0r Contractors Inc.
MH 399
pate Installed 5-z1 -44 --
Sta. Gn nin 0400 R.
WY- SIZE-- J i'YPc DEPT H I y13t_ ExCr,11,
SIZE TYPE Pil�C C.O. C.O. LAYI,;i____.
LATERAL � LENGTH 1.EMG T i!
gWGx$ SDEk ZG PVC— St'd. = Total
PVC- 4.75 I 1 3to, Z0 35.70
NOTES:pp
9blope+ Horz=Tot<
ro
MM 39(b M H 3"
-0 /"&�
29,5.
C.0
�aY
— F -A Q —
Depth of Cleanout 4'75 Fl0w Line 1►3vsmr
Cleanout 2, 5-
- f rom
Layed 0 S -O
uyy.00W%J Basoment Service
iy,H;-399
Amounts pertaining to 'w_orkLompleted tris period, reviewed and app oved.
WC5u In3pe for 7 tractors +ep
, 7" + if- - ^ �
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LAT&WgI I MTV
y
OOW,14 G?
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Property Address: Rt. #6, Box 195
NMP 3CJ6 'To- MH 3 9 9
rl
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
Sewer "B"
Dwg. #601-065
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
C-)
MH SD15-399 _
GRAVEL 1 \
R/Y
f� 5 539
(RT. �. RT 6 BOX 15)
g 184)
1
PERMANENT SEWER E/
SEE DWG. BB -620-024
PERMANENT SEWER EASEMENT
SEE DWG. BB -620-025
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: V6 C ►A.Q!-L-1 t'. e514AFYI=00
Owner (Print) _.-
wner's Signature
Attes .
Was o. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56