HomeMy WebLinkAboutLat_13806WoodlandHeightsDrive.�NINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.O. BOX 571
PERMIT NO. 4'_.x.4;
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
DATE
SUBDISTRICT NO. '15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVI!•„f @ SYSTEM Fill aI1sV1 lleU C11ard
Permission is hereby given to: Mr. Howard M. Cunminghai, & Teresa P. Hi'Lls
For Property Located at: C'Aji Wuou and .Dri-ve, Hagerstqyn, Maryland 21740
Owned by: Address: 2 01 Woodland Drive Hagerstown,MD
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee Date Paid
To connect to a public seweragelpr_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. I I -
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 In 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:
Final Inspection Made By:
DISTRIBUTION: Permitt
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board �1
Field Offi
Date
Ate` Id%
WASHINGTON COUNTY SANT ..RY DISTRICT SANITARY SEWCR LATE(
WASHINGTON COUNTY, RD, CONSTRUCTION 4WHIP
Projects Mauosnsvi1-1pLOrchard Hills Sanitary Sau rags Co14ection•8vatau
f'3 G Cu He -4 9h'fs
Street (or location) s 64 t 583 9.4&l h(60o4A,vo D-ei vc } away -d rk,
Contractors Lisbon Contractors. Inc.
RH azo TO IM 5zz-
Date Installed Zd JvAug gJ-- WYs St** On P491A�o
WYE—
MZE
511L-
TYPE PIPE,-
TYPE
---DEPTH
TYPE
EXCAVO
QqTN
LAYING
L&NJTII
8 K6x8'
6 5DeZ6RVG.
G'sr>eZ�P✓�
*,' .T
546 utF
IMF+
NOTE S s I
Drop
Depth of Cleanout S.(PG v.F. 4ilou Line
Cleanout M 4 rom4-MAID/
Layed
• �ossigc.c easement Service
Amounts taininq to Wrk coWletsd this period, reviewed and •ppsoveO.
By C14 -e 2
Inspector Contractors Rep.
0001, Ank
WashingL A County Sanitary Distric
SEWER SERVICE LOCATION
Subdistrict No. SD#15
/-3Contract No. SD15- 3-S
Property Address:
ood rp4-21'3h4s
t ,iland —
_ rive
MH 521 to MH 522
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.
7SMH,D15- 520
W I
I
I
I
c 0 J
8,1 SAN. E
Nwe
00 '°~♦ y A
583
(2401)
J
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: /
� --
0o► Attest:
Wash. Co. Sanitary Dis
(Form WCSC-1)
Replaces Form WCSC-56