HomeMy WebLinkAboutLat_13903BlueMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM -
PERMIT NO.
(301) 791-3083'3084 DATE 9-�O--
Permission is hereby given to: i h e l Cfla M B t1 r ra 1
For Property Located at: 212 Blue reit . O r iye
Owned by: Thelma Ni Burra "i Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
SUBDISTRICT No. 15
-aug�m>$vl s r� yard
>12 u l llya Mt L)Y'I MaugansVi 11 MP 217@/
To Main Line:
( 1 Units Other
Industrial
Connection Fee �62U.00 Date Paid
To connect to a public sewerag elwA_tej{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: rte` -' _— Date i '2—
�Iumbing7P
Inspector �(i�
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved conptruction drawings will be made by:
Washington County Sanitary District
y 33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Date
IJASHINGTON COUNITY SAt*'""i hetc14 NA,Ar' DISTRICT
UASHINGTON COUNTY, Mb- .
SANITARY SELLER LATE'.
CONSTRUCTION RCCORD
Project: Maugansville/Orcherd Hills S015 -1—S
1390-5
Street (or location) : -Z-ft f3twE ^17-&I . !.?,eye C GqY 323 i
Contractor: Callas Contractors, Inc. v'
MH ZZZ TO MH ZZ.3
Date Installed_ 7-/8-83 Wye Sta, On Hain 0± 7Y. Z 2
WYE SIZE— TYPE DEPTH IYPE j EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL 191 LENGTH � _ LENGTH
*Horz.= Total.
8x(aX FS •Pv-
7Z' Stud
SDR 3 S SD4 Z t0 PYc
NOTES:
Drop
8 .. rVATEC
Mq�w.l
i
�ti n
'W gF+ios
1 35/•0'
ys' 3Fvo
/I/" CLEHRq-11E
,wb1ope+ horz= 1 o•
35: (-
3.)2 4. z7. os+ 5.5 :3
Depth of Cleanout 6-7z— Ulow Line
Cleanout Z7v__5From ft- Mp I;V
Layed Q �i• S r j, i9 �TIE e Dot p
• At Basement Service
7H• z
mi I;" Z Z i �ry MHS Z L3
v
LA
Amounts pertaining to work completed this period, reviewed and approved.
0 Y
WCSii Ir,:;�c ar Ca► �r: ct0rs fiep.
Qp
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
�qo3 Contract No. SD15-1S
Property Address: - 1 Blue Mountain Drive -�
MH 222 to MH 223 Dwg. #601-044
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.
Q UJ
81, W
-%-j 0
- 1
R/W
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: /OTT A Z
1 (� tea) av 2a- lr a- L
Owner Vint
Owners signature
Attest: d. j
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56