HomeMy WebLinkAboutLat_13611WoodlandHeightsDrive'VIIASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
33'N. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083J3084 DATE
P.O PDX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEW ERAGEIWATER SYSTEM
Permission is hereby given to: _
For Property Located at: -
Owned by: _ Address:
Type of Connection: To Service Connection -- To Main Line
Type of Service: Residential
Commercial
Meter Size
( ) Units
Other
Industrial
Connection Fee__ $fi2Date 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 Ins 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
,i..
WASHINGTON COUNTY SANITAI DISTRICT
WASHINGTON COUNTY, MO.
Aft' SANITARY SEWER LATE',':
CONSTRUCTION RECORI'!
Project: MauoansviIle/Orchard Hills Sanitary Seweraoe Collection Svstem
136/ /Nom+yk
Street (or location) : ('4Z �,ogq o=-jq;f- .hloop"Alo' /DeeivE
Contractor:_.` , L}sbon Contractors. Inc. A n4 fri
Date Installed
MH a29 TO MH 5
Wye Ste. On Main �f69-73L"?-
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.0.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
g"&,"xer
6 59".4*Horz.s
Tota
pvG
Qgy.F.
St1d.
ops orz• o a
NOTES:
Drop
30.50 L . � .
O'l3+17. /6 = 3Z. 69L. F.
4S° 13er73
Depth of Cleanout W -F. ®Flow Line
Cleanout m t-h1Aw
Layed • 2 A�4erDrop
• PoscieLz, Basement Service
MH#
Amounts ps ninq to work completed
By
UCSD Inspe for
MH# S3 Z --
this period, reviewed and approved.
C-& ; i%C1 --
ontractora Rep.
r i Terre. _ 'te
Washington County Sanitary District
SEWER SERVICE LOCATION
�8 3 Subdistrict No. SD#15
13(e f ( Contract No. SD15- 3-3
Property Address: `2.3-64 Woodland/ Drive
MH 529 to SIH 532 DWG. #601-318
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
�0
Q N
M
(OD
U II 608
I CC o X3j,) (2304)1Q r�_ 10
W
3 U W
U)
CD
a 1.r
OD�._. W
- - - - -- -
DMH SD15-529 8'�SAN
f
0
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: ,s�� /�� h on ia ke L G
Owner
Owner
Attest:
Wash. Co. Sanitar District
(Form WCSC-1)
Replaces Form WCSC-56