HomeMy WebLinkAboutLat_13832CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Address:
Type of Connection: To Service Connection —
To Main Line:
Units
Type of Service: Residential
Commercial —
Meter Size _ _ Connection Fee
Other —
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation
of Lthe connection and the aws of the State of Maryland and Washent of the revious ngton Cou pty SanitaryylDiDte system shall istrict
with the provisions of the
strict Sp ecification
La
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 -Treasurer
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 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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitt
Plumbing Board
Field Offi
Date
Washington County Sanitary District
SEWER SERVICE LOCATION
513`' % 3� Subdistrict No. SD#15
13�
1' Contract No. SD15-1S
Property Address: --rn 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.
► 1; 1 ► R i w
� 1
SAN.
H SD15-213
50' ww p 6)
OW FOW ITEL a
1 1
► 1 Q
I ►� 1 1 �
5' TYPICAL 1 1 1 ►
1 1 341
3 (1 29)
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. i i;Avp I one mei
Date: 3 Rickel F. 'gVAPA2 Je_
Owner
rant )
Owners Si ature
Attest:
Wash. o. Sanitary District
(Form WCSC-13,
Replaces Form WCSC-56
0
WASHINGTON COUNTY SANITARY DISTRICT
?1 u
33 West
ton 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:
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 Contractor, Inc.
Approved by W.C.S.D, Inspec
Date
!.,'nSHINGTON CO!J^:TY SAKI 740"' OISTRICT
SANITARY SEWER L."Tc=6'-
U45HINGTON COUNTY, MD. 1 CONSTRUCTION RECGi%C
Project: Mauearsyille/Orchcrd Hills S015-1-5
ti 383.
(-Re (or location) : a.. -A- c,o.xJrnJ sroa 'D2s�E
Contractor: Calfs Contractors, Inc. -
Date Installer'^ (0-Z-__83 _.
MH— ,_•_T O MH .zt 4 -
Wye Sta. On Main
WYE
SIZE-
TYPE
DEPTH
TYPL
EXCAU.
LAYIN
LENGTH
-SJ7E
TYPE PIPEC.0>
C.O.LATERAL
LENGTH
Hcrz.=Total
b"
6 " pJG
-P JC
JF
St ,
soe 3s
502 Lto
y��6'iff�p�i-y�+aChA.fcJtf
re��.,o�e ccs*eta
��•, , `or
Drop
ope+ Horz=Tota.
LF 1-F I
.?`� ecus ry G.o. s*vs
NOTES: aeW:-)„ �►e ta.3C'Es
as•�
1...1 do.� = dt..q
W -azao
as"Ce
E r. -"r Geuv.10
-r e,- J F.
00 �.
4''r srus
S�.t
� G,o.,ar2J s�.oE o2.
Depth of Cleanout 5.ts.�� Cf low Line
Cleanout ac�� `'` From it sevEC r.,ArJ
Layed 7.zs wF:-�rz �rtop
• No Basoment Service
Md 14
MHJtQ13
mcunta rt nin to work completed this period, reviowed and approved.
E3
�_ L,C3bjr:spoc for on.ri.CLors kep.