HomeMy WebLinkAboutLat_13928BlueMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084
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
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 Spacifications.
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: i1 l cx, � Date — 2-4 - 8
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 Offi
�nSHINGTON COUNTY SANITARY STRICT
UASHINGTON COUNTY, ISD.
SANITARY SEWER LATERA
CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills SD15--1-5
13 C3;�8
Street (or location): _M i. jpIVF ��a4Z 3Z°}
Contractor: Calles Contractors, Inc. "'
"1H 371 TO I iH yo
Date Installed /Z — /(0—_8-3 - _ _ r Wye Ste. On Pain o+ye e �
WYE
SIZE
SIZE—
TYPE P'PE
TYPE
C.O.
DEPTH
C.O.
TYPE EXCAV.
LATERAL LENGTH
LAYING
LENGTH
St,*Hort.=
T •
yo
'
SDR 35'
Horz=Total
NOTES:
Drop $ S
�•Zo+ 6.75•_ 17.95'
M 4-1"J ---'
Depth of Cleanout •...._.a•....�..—__..,.,^�
P 'y o C, -Flow Line
Cleanout 41.3o From Cr Mp,',y �.._.._...�,.s._ ,...
Layed Z /9�TE2 D)2
NO Basement Service
MC : IJ
MH '-37�j w
c
Amounts pertaining to work completed this
—WCSU Ins cC�Dr
MH7= Voe
period, reviewed and approved.
,-Contractors
ontractors Rep.
Property Address:
MH 379 to MH 402
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
B99q Contract No. SD15-1S
-3m'L3r 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.
C)l
r:—�
0M
g" SAN.
50' RP
8" SAN. MH SD15- 379
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: lZ/5/8Z lLlISS fN1,1A M G C00
Owner (Print)
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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:
'Signed
'Pr erty Owner
Date
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 c th the
above conditions at no change in contract price at the following
location:
Requested by Callas Contractors, Inc. ref,
Approved by W.C.S.D. Inspector 41C
Date