HomeMy WebLinkAboutLat_13820CountrysideDriveWASHINGTON COUNTY SANITARYyDISTRICT
33 W. WASHINGTON STREET
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO.��;
DATE ] -c -
PERMIT TO CONNECT TO PUBLIC SEWERAGE/"SUBDISTRICT No. 15
-T fi SYSTEM I'f7auga nsville Clrehar d
Permission is hereby given to: Sherry 64 e d V e r 'Hills
R
For Property Located at: 1 1 7 C o i i n t. r y r i clip U r i via t13vC)"
Owned by: Sherry Weave
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Address: 1 1 7 Coir= r ry c i #i p
To Main Line:
Units Other
Industrial
Meter Size Connection Fee - ` Date Paid 'I U -22-d4
To connect to a public seweragebo=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-Treasur r
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
Plumbing Inspe r
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 Office _ 9
Date
ASXING'TON COUNTY S;NITOW )DISTRICT rZely <• SANITARY SEL -ER LA E'.'n0'L
UASHINGTON COUNTY, MD. CONSTRUCTION REC(i;;
Project: Maucansville/Orcherd Hills 5015-1-5
Street (or location)',382 C-wJr-0-y =F- -DarvC- G'a ar 3 �R
Contractor: Callps Contractors, Inc.
Date Installed_ b_3o_g3
ri H _41 q. TO MX
Wye Ste. On Main_��/��'-
WC
SIZE
SIZE-
TYPE PIPE
I TYPE.
C.O.
DEPTH
C.O.
TYPE
LATF-RAL
j EXCAt1.
LENGTH
LAYIi;�:
LEr:1GTl1
PJG.
_
Some 35
Soe 2.(0
-
7*Hcrz.=
rc-ev.4or� ,o.,o EcEcs�u
-
c
"Slope+ Hort=Tota.
s�F se..+rwcp C.O. 3.9•F
Drop
.z3.6
L. _
s
IE -60 r/^
00
B a SE..JE.2
�_�o.+alnC,I •tog 'cam.
RIB
Depth of Cleanout IIk,%Oc glow Line .........y..�� .....,.
Cleanout -11. s ug From k sc j" ,•4,4x -.J
Layed C B. So
• ,yQ Basement Service
MH -_7 4
Amounts pertaining to work completed this period, reviewed and approved.
41
8Y LirDLI Tlns�)Lc; or r.0 rs f+e _.....". ..
P
17 _. -r I ^ f
NOV To 9Q1*UW UAIG,�Y
It/16/8Z
A•►
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13 &)o Contract No. SD15-1S
Property Address: -HT Countryside Drive
MH 214 to MH 215 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.
33
(12
SEED 1v��
WCoG
601-04�
0115 -
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: llrau P , l6, /9�3 % '�/ 1. (�/enyer
Owner (Pint
r/ Owner's Signature
Attest: j
Wash. Co. Sanit District
(Form WCSC-1)
Replaces Form WCSC-56