HomeMy WebLinkAboutLat_13924BlueMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER 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
(301) 791-308313084
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
19�1'L
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee G�
Final Inspection Made BY: _ �31 • Date
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: _ Date _
DISTRIBUTION: Permittee Plumbing B
Field __ Offic
WASHINGTON COUNTY SANITARY^ISTRICT
WASHINGTON COUNTY, MO.
Project: Maugansville/Orchard H
q�
Street (or location):i39
__ 9Q 1ALuc
SD15-1_S
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Contractor: Callas Contractors Inc.
MH 3'79 _. TO MH 4oL
Date Installed_ �Z_ q. 8 3 Wye Ste. On Main_,_,, 5
S7_ ZE TYPE PI
Sot 3c So e. tc.
NOTES:
C.0
vrc
8+ SEwE�
TH ITYPE
0. LATERA
I St'd.
C.C.
XCAU.
ENGTH
/4 L&C
LAYING --
_ LE NGTH
�'Horz.= Total
/4.1-1 1-c
ope + Horz=
Depth of Cleanout—. --9.41. "f CL low Line
Cleanout /_3. S '- from se.aEe ,•,4z:.1 ..-��- ��
Layed @ 5' 1 s,
N16 Basement Service
C. o.
MH;'7 4o7_
MH7,-379
Amounts pertaining to work completed this period, reviewed and approved.
8Y C G
WC S CU I ns p e c , o x `�"`� -I --� -- ----
Contractors Rep.
.'r*cr i L,1171'-•'
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Eli
e
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��,o Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD##15
)393q Contract No. SD15-1S
Property Address: 3-14 Blue Mountain Drive
MH 379 to MH 402 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.
Z
Ld
a � a
z0)
00
3 Cf) o
00 W o
Q (3 )
1 W W
3 W (�
N
l R/W
� VV,
328
(319)
I
F-
I
G3
FORCE MAIN - MH SD15-402 : 8' SAN.
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:
Owner (Print)
Owners Signature
Attest:A�[,-,J%9 t.
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
..•
WASHINGTON
..w 1o2,, 37/
COUNTY SANITARY DISTRICT
•II
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
c'_A �a 7e' leo c,c !�-4-,i k
Address j?y/ -t 1
/ / Li_ • - 1. Q l/ gf
✓ Signed
'Pro r y Owner
✓ Datee��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 C
Approved by W.0 S.D.
Date