HomeMy WebLinkAboutLat_13907BlueMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAG EIWATER SYSTEM
Permission is hereby given to: ---
For Prcperty Located at:
Owned by:
Type o' Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
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 SFscifications.
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: �� C -®• �l W, 1 ,�A6!3,. ___ ____ Date .9,,q-84
Plumbing Inspector
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 Board
Field Offi
Date
''ASHINGTON COUNTY SANII`!ftv DISTRICT ''°►a SANITARY 5EWER LA T E
UASHINGTON COUNTY, MD. CONSTRUCTION RECGFio
Project: Maugansville/Orchard Hills SD15-1-5
:ion)aF i,�.)�yE /Street (or local
Contractor: Callas Contractors Inc.
Date Installer' 7— / Q- 83
MH ZZZ �TO MH ZZr-> ✓
Wye Sts, On Plain f36.Zp
L yE
517E
SIZE—
TYPE PTPE
TYPE
C.O.
DEPTH
C.O.
TYPE:
LATERAL
� EXCAU,
LENGTH
LAYIi,!G -_-
LENCTH
$X4, .X 8.
6 .. Pic.*Horz,=
Total
•
St'd,
SOR 3s
S na Z c0
P✓c
7. 88
3Z • o
30 -o '
51ope+ Horz otai
Dro
NOTES:
8 •• WA -r .
MA114 C L_-Aw/at- T
_ 0 lit—�
T— _
I
T
8 A4AIv
Depth of Cleanout 7 88 • f I c u Line
Cleanout Z7• G •�-�---�---
Layed 0 °) j
uAl,K.vow.l Basement Service
Co -
MH" ZZZ IN
MH2-' Z z s
KMOUr+to pertaining to work completed Llnis periW,evilawed and approved.
r Y
�, �;t. S i_�I pytctors Rep.
At 00,11
, id**
��
Property Address:
MH 222 to MH 223
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13101 Contract No. SD15-1 S
2-6 Blue Mountain Drive
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.
8" W
MH SD15-222
fFH. TEM — "-
3
(2JF)
R/W
8" SAN.
8. W
110
_J
322
(216)
--------------------
Q
CD
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: I� Jz Bf�.2T .L- —�M /7-tq
Owner(Print)
Owner's Signature
Attest:
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
v
10
0
Amok
WASHINGTON
J,7.2 Calc) ,B/u� -*t )iz
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
I-,47.�,eX1 70 ,BE-
I hereby request the contractor to install the lateral in
accordance with the following conditions:
-Address_,/Z ,CS.l�ce
Property Owner
Date / ,3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Callas Contractors, Inc.
Approved by W. C . S . D. Inspec cr
2A...—
Date 5,13 83