HomeMy WebLinkAboutLat_13614WoodlandHeightsDriveWXSHINGTON COUNTY SANITARY
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAT'ER SYSTEM
Permission is hereby given to: I hoiiids P. sheppa iU
For Property Located at:
2307 Woodland Drive ►3(.Dl
Owned by: I hor(fas P. Sheppard Address
Type of Connection: To' ervice Connection 1
Type of Service: Residential
S '.-� Commercial
Meter Size
DISTRICT PERMIT NO. 610
(301) 791-3083/3084 DATE 4/22/8D
SUBDISTRICT N0 • 15
Maugansvillei0rchard Hills
2307 Woodland Drive Hagerstown, MD
( 1) Units
To Main Line:
Other _
Industrial
Connection Fee $620.00 _ Date Paid
To connect to a public sewerage19QW)Ir 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.
Water Account Number Unknown.
Secretary-Treasur 'a )
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 17"
Final Inspection Made BY: Date
10 Plumbing In ector
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:
DISTRIBUTION: Permittee 1 Plumbing Board 3
Date
Field 1 Office City of [lag. 1
WASHINGTON COUNTY SANITARY DI iICT
WASHINGTON COUNTY, MO.
Project: Mauaensvi
Street (or location):
'NITARY SEWER LATEi"
-jNSTRUCTION RECO NO'
Contractor: Lisbon Contractors. Inc.1�c% r.
Date Installed_
MH '�)— �9 TO MH_Z
Wye Ste. On Main &a. -/1,0
Depth of Cleanout 4. W V }" , ®f low Line
Cleanout i2;•"7 From 4--- MAO-(
Layed 4 (C' %4 -1 -1.%r -Prop
•I�,�; = Basement Service
MH#
c' o
Amounts per in9 to ork completed this
8Y
Inspe7ctfor
MH#
period, reviewed and approved,
d
Contractors Rep.
C' Cj,'
Lo
Washington County Sanitary District
SEWER SERVICE LOCATION
as �- Subdistrict
Contract No.
No. SD#15
SD15- 3=S
Property Address: -243� Woodland Drive
ISH 529 to ISH 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.
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet i side the property
line so as to facilitate, and make le s expensive er's
connection to the lateral and to pre ent damage o t cl nou
which will be installed by the Dist c at or ear t p..o er y
line.
Date: 4".—
Owner
Owner
Attest:
Wash. Co. Sanitary,/District
(Form WCSC-1)
Replaces Form WCSC-56