HomeMy WebLinkAboutLat_13828CountrysideDriveWASHINGTON COUNTY SANITARY DI
33 W. WASHINGTON STREET z c 0 STRICT
P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO, 194
DATE 9-10-84
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAIgR SYSTEM SUBDISTRICTi�M 15
Permission is hereby given to: Aiaug&nsvil ie/Orchard
v hills
For Property Located at: 19r;
Owned byllliam B. Thom»�on Address: 2 pmt r
rsidc Dr. MauLTarnaaaaill,&, Md 21767
Type of Connection: To Service Connection X
��-- To Main Line:
Type of Service: Residential X (1 ) Units Other
Commercial
Industrial
Meter Size Connection Fee 962G.00
Date Paid -10-84
To connect to a public sewerage/_Wa.- r 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.
c7 S 1\ [''>L 1 O_Q k _11
Secretary -Treasurer -
Building Permit No. kC
I
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 I
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY:
Date %,
Plumbing Inspector "7 --
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 Office
nSNIidGTO"J COU TY SAi•!I TAO"--- �_
LIASHINGTON COUNTY, MD. OISTRL�T � SANITARY '
SELIZR LATERI?
CONSTRUCTION RECGr;Q
Project: Mauoansville/Orcherd Hills
SD15-1-5
13828
treet (or locatdon):
sJ ca t a
Contractor: Canes Contractors
- - '� Inc.
"1H a13 _TO MJF' 14.
Date Installed �_�8 _ 83 - 4/ye 5ta, On Pl3ain y- - `"`
�As�s 2
Wf"S 3.S ..t
Sru s Tr..ly 4e
,ac"X40 C...
/ `le 946.1 t.+O
rEcEPdovg
O O &4s.C,4xr,
<< %�
10.0 s L8.0
T6c.EPN.J E
— — — Ec,FcTtLc
Go....i raY s roe •�.
Depth of Cleanout E:FI.ow Line
Cleanout 10.3` r From ss-igl . -4.4s.,j
Layed C 9.ZS_ fIGrGC -poop
^Jo Basement Service
C. 0.
P1 H;;L -003
mounts pertainin- to work completed this period, reviewed and approved.
d1.�
%antracqv-
tors Rep,
r s r +
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
�3g2g Contract No. SD15-1S
Property Address: -'Countryside Drive
MH 21 o MH 214 e
D 1-047
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.
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: Q/2 f3 Z l oti y-
wner (Print)
Oft's gnature
r
Attest:
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
� , ea.
*� 2)3- Zly
WASHINGTON COUNTY SANITARY DISTRICT
33 Wast Washington Street, Hagerstown, Maryland 21740 a (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
•
Address ) i 't
Signed j
Proper y Oivner
i
Date
. .s
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21 740
Re: Maugansville/orchard Hi11s Sewers
Contract No. SD1 s -1-S
Gentlemen:
We hereby request permission to instalY 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
owin g
Requested by Callas Contractor
Approved by, Wt C.S.D. lns,)g�-Ctor
Date 3`
MW®,