HomeMy WebLinkAboutLat_13802CountrysideDrive---'WASHINGTON COUNTY SANITARY
DISTRICT
` �4
PERMIT NO.
` VV. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
(301) 791-308313084
DATE Janl�ary
9,.
P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATRR SYSTEM
Permission is hereby given to: Roxanne Greathead 1,3(t310
091
For Property Located at: 101 Countryside Drive, T,augansville, Maryland
21767
Owned by: Roxanne Greathead Address: __ 101. Councrys=-de Drive,
Maugansville, !vD
217`-7
Type of Connection: To Service Connection X
To Main Line:
Type of Service: Residential (7-) Units
Other
Commercial
Industrial
Meter Size _ Connection Fee L62o-no
_ Date Paid
January 9,
1985
To connect to a public seweragelvV-ter 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
Z�4 Date �G
PlunyVhg Inspec or
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Office
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
�'r,SHINGTON COUNTY SAND' DISTRICT `! SANITARY SEDER LATE
UASHINGTON COUNTY, MD, CONSTRUCTION RECGiiu
Project:_ MaugansvilleJ/Orchard Hills SD15--1-5
Street (or location):
Q
Contractor: Cal -Les Contractors, Inc.
MH—Z_/ 7To MH Zig
Date Installed- 7- 6- 83 r WYe Sts. On
WYE SIZL-- TYPE DEPTH TYPE � EXCAV. LAYIf1C
_SIZE TYPE PIPE C .0. C .0. LATERAL LENGTH LEINGTH
*Harz.= Total
SX�x �' � • P�� sty
sae 3s SDk z� 'PVC °�3
NOTES: i Drop
8 * M A;,I --
Ab1ope+ Horz=iota_
Z S 0 3.75 +
Depth of Cleanout 4/-93 t?E low Line
Cleanout / 9. o from I A4
Layed n 7.5w. 5 A-PT'c2 oRo�
• A/o Basement Service
Z f -7Z
PIH;,' Z/7
Amounts pertaining to work completed tr-.i5 period, reviewed and ppr ed.
ae-
_nsp _T/or L,0T! rn oru fie
P
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Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
+9+ Countryside Drive
w4 2-1 t e— — �� g
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" SAN.
—P0 W
R / W
_ 8 w
E'-
/+-'(MAC)-MH SD15-218
MH SD
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: 0 \dill (V 1 � L �� i l 6-,9d
Owner ( rint)
Owner's Signature
Attest:
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
4e _
a
� WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
'Z17
I hereby request the contractor to install the lateral in
accordance witl1 the following conditions:
Address ► �� ►
'Property Uwner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hips 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.
o`
_
Approved by W.++C.S.D. Ins_�ec�o�""
Date I I Z?