HomeMy WebLinkAboutLat_13825WoodlandHeightsDrive'WASHINGTON
COUNTY
SANITARY
DISTRICT
33 VY. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083J3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
13-;5
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: _ Date
Plumbing I pector
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:
DISTRIBUTION: Permit
Plumbing Bo
Field Offi
Date
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SANITARY SEWCR LATE
WASHINGTON COUNTY SANITARY DISTRICT CONSTRUCTION RECORD
WASHINGTON COUNTY, MO.
Project: Mauoansville/Orchard Hills Seni gam$ lan
Street (or location): T 1002
Contractor: Lisbon
Oats Installed. 14JQRe 64
TO MH 500 '
Wye Sto. On %in 1,4g,64 --t
St1d• I / � "MAYX•� 1
Drop I 49.40L.F. 5.-5+'13.Z5- 1615L
NOTES:
i
I
i
r�^Sn2 %(o Ovi
I '
40
,1v
45° bend
. .........
Depth of Cleanout 4,<g4v_F *Flow Line
Clesnout a5.a' from _ Mar&!
Layed 1 ¢ ANer drop
• Pos610�_e_8esement Service
520
Amounts per ainin9 to work completed this period, reviewed and approved*
By Ice
WCSD Ins c or Contractors ep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
(3 &a S �-ie-its
Property Address: 2.4,1.6 Woodland Drive .
MH 515 to mu Soo DWG x#601-317
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.
oc ,, �,3 1 v (21
Ln 602 1 -
Z 0 (2416) 1
U) `--
-599
8 SAN.
v i
�r
M D ,� 8
lkl
mC �
COL
G)
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: 6
Attest:
(Form WCSC-1)
Replaces Form WCSC-56