HomeMy WebLinkAboutLat_13812CountrysideDrivei,iASNINGTON
COUNTY
SANITARY
DISTRICT
PERMIT NO.
* 33 W. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-308313084
DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM c�
Permission is hereby given to: _ (j a n n 1 � �✓ 1 r)- _
17
11e, Q
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
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 SF3cifications.
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
Final Inspection Made BY: Date
Plum ' g 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: Permit
Plumbing Board
Field Offi
''ASHINGTON COU,-NTY SANI-W°` DISTRICT SANITARY SEUEP, LATU,'L
UASHINGTON COUNTY, MD. k, CONSTRUCTION RECORD
Project:_ M2uoarsville/--Orcherd Hills S015 --1-S
Street or location ��61�
-
i ke- CG%JorB.Y S=DE -DO-Vie GrlL 3.3 (�
Contractor; Callas Contractors Inc.
Date Installed 7-I-83
Wye Sta. On Main�foo,_��
WYE
SIZE
SIZE- !
TYPE PIPE)
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYINIG
LENGTII
to "PSG
*Horz.= Total
Soo
SoQ
PVG
JLi
4.13
Std. .
�
`F
35
Z 6
L9. L
CJ" 3 r�,a" T
Slope + H 7r -=
TL�P�e..dC ; EV-gX-rJLVC_ 0.S `"F
NOTr:Ss
Dro
�N� c&ZA163-•..r
'5"
Depth of Cleanout 4..73uF (gFlow Line
Cleanout 26•-1 LO From SEWEe .14A=J
L aged C 1, oo
Basement Service
MH;;L-2 816
Amour p rta, ng to work completed this period, reviewed and approved.
BY ea
JiJ Lof3triC%i7rS t{Ep, _. ..
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
)38tZ- Contract No. SD15-1
Property Address: -149 Countryside Drive
216 to MH 217 Dwg. #601-048
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 nd at that location.
<N., --
MH SD15-217
%
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: ��%T% - - --
�Q(�r D
Owne rant
Owners Signature
Attest
Wash Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
. ii
33 West Was Street, Hagerstown, Maryland 21740 a (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ Gil
Signed
'Proper y er
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 with the
above conditions at no change in contract price at the following;
location:
Requested by Callas Contractors, Inc. y �,
Approved by W.C.S.D. Inspe
Date 2 2 ,