HomeMy WebLinkAboutLat_13940BlueMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: /Z( I6
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 lo— w— � A
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: Permi
Plumbing Board
Field Office
'WASHINGTON COUNTY SANITARY "STRICT SANITARY SEWER LnTE~R
UASHINGTON COUNTY, MD. )%W VOCONSTRUCTION RECORD
Project: Mau ansvillel'Orchard Hills SD15-1—S
Street (or location): 3-3-9 1304t MT 7DQiVFy-qz 33Z�
Contractor: Callas Contractors Inc. `� c
MH 377 TO MH 3M
Date Installed'• /2-lS-$3 Wye Ste. On Main /-io% 3 P �
WYE SIZE— TYPE DEPTH TYPL
SIZE TYPE PIPE C.O. C.O. LATERAL
13x06 6"
PV C_ PV
SpQ 3S SDQ Z(•
NOTES:
8..MJ41.N
Drop
�n V . -11 0
NGTH LENGTH
Horz.= al
*Slope+ Horz= otal
ztj.zs 3 Z5'+Zo.3o:Z3.55.
CC�ANouT
Depth of Cleanout FIoul n
Cleanout Zo• GS From
Layed � 4�TEQ 012,-.r
UiaKNowA_Basement Service
MH'377
N
MH# 3 78
Amounts pertaining to world completed this period, reviewed and approved.
BY 13
--�----or ractors Rep.
WCSU In actor
w
Property Address
MH 377 to MH 378
C' W.
1W
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
Contract No.
13940
-3-3.9 Blue Mountain Drive
SD#15
SD15-1 S
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.
E 51
c)j 332
(�
0 1 ° `Z M
N
8" SAN.
8" SAN. 50'R/w MH S015-378 _ s.0.
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)
Owner s ignature
lk , Attest:
Wash. o. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
33� 6319) slae-
/ATE.eA/TG B6'
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:
Addre s 5�"/
` L�8igned
Property Owner
Date �/ r�f- 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:
%W Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspec
Date