HomeMy WebLinkAboutLat_13819CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/W�jJESYSTEM
Permission is hereby given to: Frapk L. Long, Sr. 13`
PERMIT NO.
DATE
SUBDISTRICT Ne. 1.5
�'Orchard
Kill$
For Property Located at: 124l;ountryside Drive, MaugansviIIe, MaY'y uiEu 217b7
Frank L. Long, Sr. Address: � 124 Countryside Drive, Maugansvill
Owned by: 21767
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size
Connection Fee 1 '' — Date Paid -9/1.0
PBD
To connect to a public sewerage/vrr2tt% 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Tres
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 1
Final Inspection Made BY:Date D —S4-
Plumbing
-S4Plumbing 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: Date
DISTRIBUTION: Permittee Plumbing Board 4
Field Office
'-A3HINGT0N COUP:TY SAN17"- `DISTRICT f'eA'"K SANITARY SEWER E; LATL
UASHINGTON COUNTY, MD. CONSTRUCTION RECC,,F
Project: Maucansville-0rchard Hills S015 -1-S
138i9
Street (or location): 4.a4-- C.0 v..i rR V S Kofi 32 0- r.r r- CrA L
Contractor: Callas Contractors, Inc.
Date Installed 4-30- 83
MH -61 13 TO MH z *
Wye Ste. Oil Main ?-,,74—?L Z
WYE SIZE- TYPE DEPTH TYPE EXCAV. LAYII G
S7 7E TYPE PIPE C.0. C.O. LATERAL LENGTH _ LUNGTH _
(,'•PJC *Herz.= Tota
-7 8 S t ,
- � Slope + H z=Tota
Drop - c.c
NOTES: 33.0 �a`F �4.z`9a
L.o. C.o.
ao •o �
S
,,Z 04rCe
4S' 86-10
sE'4e
Depth of Cleanout fs.-t8.''F C�"F1o!r Line
Cleanout 30.1 `F from # Sf-&JEc. ,..,•�r� `--'��""� ~
Layed C 3-so.—/0 AxreA D/&QP
• 120 Basement Service
c. o.
MH"" .2 ,3
FLOW M H ' % t4-
Amour-tc ertain'ng to Work completed tl.is period, reviewed and approved.
9,4,444 t
9Y
I.CSb ir,spoctor kep.
C, LJ
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
J.3gri Contract No. SD15-1S
Property Address: Countryside Drive
MH 213 to MH 214- 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.
Q
�3
0 1
Q ,
0
o � 1
� 1 1
Q 1i
I R
8 SAN.
13
l
1 1 �
1362411-1•
(1
1 1
� 1
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: tjIc 0 S
OwnerPrint)
11h -t-f '\k�� '3�A,
-Owners Sigtpfature
Attest: Z7 1
Wa Co> Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
� ,..Adftk
.
WASHINGTON COUNTY SANITARY DISTRICT
LL -U
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:
oe-""Address1I (?
'Signed Z.,�
/ 'Property Owner
Date 21193
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, Ipc.
Approved by W.C.$.D.
Date 7//