HomeMy WebLinkAboutLat_13925BlueMountainDriveWASHINGTON
33 W. WASHINGTON STREET
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
PERMIT NO.
DATE i �tl: S
SUBDISTRICT;; FL_
For Property Located at:
Owned by: - Address: !�faAar rr' �i_,Z_t
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
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 j
Final Inspection Made BY: � lJl�. O�c_t __ 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:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Date
'V1 . v
WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAG EIWATER 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
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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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 Offi
WASHINGTON COUNTY SANITARY STRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATE
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
139x5
Street (or location):6�••E. wto..JrazJ 'a R. CA=
Contractor: Callas Contractors, Inc,
Date Installer'_ IL - Lo • 83
MH 3-79—TO MH_ 4-o2-
Wye
oZWye Ste. On Plain /f3z_ 4 V
WYE SIZE- TYPE DEPTH TYPE
i EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL i LENGTH LENGTH
$ ..; .. �• P �c. *Horz.= Tota
.P J� G S9 �c St'd.
So4.3S Sot L6
*Slope-+ Horz=Total
NOTES: Drop L9 4 I ,,c 4.c Lr
4. SS a 23.L&. = 30.L,
$ � c.r AsTcR
yr,
415'0
a4COJ7
8..
elJC4
MALW
Depth of Cleanout `. Sg we CFlcw Line
Cleanout 73 `° From -4As.1
L a y e d C S. I U A F rEJ2 a ae P
MIA Basement Service
MH;;� 403
it.o W MH t 37 9
Amounts pertainipg to work completed this period, reviewed and approved.
0CS0 In3pecuor Xbntraclors Rep.
p mb,
AOW AN%4
Property Address:
MH 379 to MH 402
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
(12965 Contract No. SD15-1S
.3+8 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.
I W
R / W �'Li-- L"D \ r---.
(MAC.)OF RC -E M '_- .
I I D ft}
MH'-*SD15-402
I i R/
0 ► I cp
L(31
318)8
0
Q
1E
{ I /� 677E
`�'' c so" -T14
0 Mok 714
END e�
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: s,-. C-1 iV--,V 0f1�
Owner (Print)
Owners Signature
Attest:
Was o. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
.. k
WASHINGTON COUNTY SANITARY DISTRICT
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:
12:::-1 V (;�-
1 7Derrof LaTL-ap` —
3 S %JL�L
Address__ � %�'(oc•N�`�-r� �TLwE
Signed
perty Owner
Date A P 914— 1 Y-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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. Inspect
Date