HomeMy WebLinkAboutLat_13815CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO, 301
33 W WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE _ 10-1 Cn-2 4.
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT NO. 15Maugansville/Orchard.
Permission is hereby given to: T)onAl d G. Everett � Hills
For Property Located at: 120 Coun .rVs • c1A T),iy . TABilgansvil le
Owned by: Donald G. Fve±r@t t Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
�I t o n o - D :! -, .. • ane
Units
To Main Line:
Other
Industrial
Connection Fee $620_00 Date Paid 10-16-84
To connect to a public sewerage/Wamr 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 -Treasure
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:
P — — Com.-�--Cg•-�-- Date 1 -Z — (•�
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 9 Plumbing Board 4
Field Office
Date
wASHINdGTON COU, TY SANIT00"`- DISTRILi t7cNRld G'��c SANITARY SEDER
UASHINGTON COUNTY, MO. CONSTRUCTION! RECOR12
Project: Maugansville/Orchard Hills 5015-1-5
'
Street (or location):' ,Sco.,JreY
GI
Contractor: Cnlles Contractors, Inc.
MH at—TO MH a1(.
Date Installed 1- 1- 63 Wye Ste. On Plain o+ [
WYE SIZE– TYPE DEPTH TYPE � EXCAV. LAY1NG
SIZE TYPE PIPE C.0, C.O. LATER!',?. LENGTH LENJC 11
8"K 6 " b" PJL, -.. �'Hcrz,= Total
SO2 3S So2 LL nJG 5.13J� , Stid. aS.G �F �S. f CC
NOTES:
G.o.
Dro
ope + tiorz=
Depth of Cleanout S.1 q ce_ low Line
Cleanout aa.I `r From f -rz i a ,. ,4zj
Layed 0 5.�Z��
No Basement Service
MH;,` S
_ u
F�ow NiH;;= i
Amounts e ta'nin to work completed ti.ie period, reviewed and pproved.
5` n C _-167 r. �,
�,�pL..�or Lt�n.,,;cscuors rtep,
19 (v,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
1'3SlS
Property Address: Countryside Drive'
ZH 215_ to MH 214o Dwg. #601-047
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.
15 214
12"
A1J-)1-11'? ilk
sEF owe: D-60
9,479M
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: -ZZ -8-? 0/-9/-yL 1--e
Owner (Print)
Owner s Signature
Attest:
TasV Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
rr ,
AXON'
Op" 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:
r
Address_ Ile
Signed
Property Owner
L Date 7//•�'
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:
Requested by Callas Contractors, Inc.
Approved by W.C,S.D, Insp
Date