HomeMy WebLinkAboutLat_13824CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEjWaff&UYSTEM
Permission is hereby given to:
PERMIT NO. _ 95
DATE
SUBDISTRICT 1",M. 15
MsLugansvi lls /Orchard
Hills
l �(f"' L
For Property Located at: 12 1 C o u n t ry s i d e D r iy e
Owned by: IMiChaeI :l, SDrincjer Address: 121 Countryside give, kjaug MD 21767
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
( ) Units Other
Industrial
Connection Fee 1620.00 _ Date Paid 10-15-64
To connect to a public sewerage5CKbMystem (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.
D
Secretary -Treasurer y
Building Permit No.
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
C
Final Inspection Made BY: `n 4)` Lo . n 9ti. Date jam— 1 j
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: Date
DISTRIBUTION: Permittee 1 Plumbing Board 4
Field Offi
"njHINGTON COUNTY SAND"' DISTRICT MC`1AE1_ T
WASHINGTON COUNTY, MD. V �
Project: Maucransville/Orchsrd Hills 5015-1--5
SANITARY SEWER Lrlic�' L
CONSTRUCTION RECCRi .11
Street (or location) : =fAT- Go%A&.jr
Contractor: Calles Contractors, Inc.
Date Installed, (o- Zq -SS
MH—.7 1 4 TO MH J Ly__
WYe Sta, On Main c* l f2
WYE
'Si
SIZE-
TYPE.-_--
DEPTH
TYP,
] EXCFU.
LAYIi1Jt:
7E
TYPE PIPE
C.O.
C.0.
LATCRAL
LENGTH
LENGTH
8
o✓c-'Herz._Tota
So 4 3S
SO& =.c
pJc
S. 7I v�
St
/
ao.c: ESR=C_,,.,o „e'zp.,...� �5lopea Hort=Tota_
NOTES: ar-z-, cnsu6s Drop e23.o 9 b , e2o.Jt
L9 7
LC-0, .,
rE«aolro,,E
"%PJr 1Cv s=ere as.=.res
VICDepth of Cleanout S71
"gf lcw Line
Cleanout i9.s`F From t sF.jee
L ad r'
Y e 7. aiy � 4 crEe -atop
AvQBasement Service j
MH "-a,s
FLO...J
Amounts pertaining to work completes' t-'Fis period, reviewed and approved.
el
y. CLJ_ -�
I:CS r spec :.or Lora :..story ire'-.._.,.
r
Property Address:
MH 214 to MH 215
"IM*A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
inDq Contract No. SD15-1S
4-24- Countryside Drive
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.
AN
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:Lt1 Z /Cyd G I C
Owner (Print)
0 a
0 is Signature
Attest:
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
AIR*
WASHINGTON, COUNTY SANITARY DISTRICT
IV �
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:
l
-Date_ 0 i;P- 8 —e'-3 .
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, nc.
Approved by W.C.S.D. Inspe or G�
Date
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