HomeMy WebLinkAboutLat_13816CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 308
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301) 791-3083/3084 DATE
P.O. BOX 571 10/1
SUBDISTRICT NO, 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAREt SYSTEM Ma u4m a sville/Orehard
Permission is hereby given to: Ruby Rankin '3b' `f' Hills
For Property Located at:
113 Countryside ur. Maugansville, Maryland 21767
owned by: RUBY Rankin Address: 113 Countryside Dr. Maugansv i l le MSD 2 767
Type of Connection: To Service Connection
Type of Service: Residential A (1 ) Units
Commercial
Meter Size _ Connection Fee $620.00
To Main Line:
Other
Industrial
Date Paid i 0/ 16 /8 4
To connect to a public sewerage/vsystem (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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No
I
Secretary -Treasurer
i
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: LA-) - tR) &.A A&1,6) Date
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 Plumbing Board 4
Field Offic
Date
'2nSHINGTON COUP^:TY SANIW DISTRICT Rv�'y 'eA'�C"'��" "` SANITARY SEINER LzTE�74;-!
UASHINGTON COUNTY, MD. l CONSTRUCTION RECC u_.
Project: M,-uoansville/Orchcrd Hills SD15-1-3
I,2181L
Street (or location): 44--
3— -rt�JE Cr4z -7
Contractor: Call.cs Contractors Inc.
f^H 1/S _ TO MH
Date Instoiled7- 1 - 8 3 _ Wye Ste , On Main o + go ej/
WYE SIZE -I TYPEDEPTH TYPE EXCA11. __._. LAYI(1C:
Si 7.E TYPE: PIPE C.O. C .O. LATERAL LENGTH _ LENG T I'
8.X b" (,•• PJB, V` - -- *Horz.= Tota
Sot 3S t Soa Lc
PJC 3.79 St
Drop
DOTES: GA• STUD �i+�*Gvo4v i'•= EE.►c..to
ri►�
�oK Lv.�LR4�{ E,.dt.n► sR�+cc..i r. ..�..�...
C•o.
R
Depth of Cleanp_Ut 3.110
I -Flow LineCleanout 3 o. 3 from fX 49,J sic ^4-4 r..J
Layed C 1.00 /J AFMA ,mop
No 8ascment Service
MH;; aIc FLasi
&rub
-blo,0a + Horz= I otS.
3.3 `C+ a9.:g
MH1-aIC
Amounts er aini twork completed this period reviewed and ap roved.
R Y D i-oL CSu in-opcc�.00r Con .. r..s P.
Property Address:
MH 215 to MH 216
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
GIKKV Contract No. SD15-1S
-14-3 Countryside Drive
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 ground at that location.
/ MH SDI5-215
� 2�6
S,9
\� I
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: ID L? -'A Z 91A U 2Ga0 1Y)
Owner (Print)
Owner 's Signature
Attest:
as Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
OP"•
. ;IG
IW1 ASHINGTON, 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:
-"- Address_ L (:-a L/ rkV ��Iy �
Signed
��j��\1 R'q�� j�
'P operty Owner
-"*"Date
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. S.D. Inspe or
Date ��