HomeMy WebLinkAboutLat_13836CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 18C
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE 9/ 1 0/84
.
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT 11�•15
Permission is hereby given to: William M. Hornbarger tC Hills
For Property Located at: 13.3 Countryside Drive, Naugansville, Maryland 21767
Owned by: W' l l lanl M. Hornbargc'rAddress
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Countryside Drive, Maugansville, ;-1D
21767
To Main Line:
Units Other
Industrial
Connection Fee $620•uv Date Paid J/.IU/d4
To connect to a public sewerage/water 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.
t
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
S'F&.o
Final Inspection Made BY: 7G=�U 7, ,D e- ._, Date q- Z %
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:
DISTRIBUTION: Permitt
Plumbing Boa
Field Offi
Date
IJASHINGTON COUNTY SANITY �ISTRiCT
UASHINGTON COUNTY, ISD.
Project: Maugarsvillc/Orchprd Hills
w; //�'�M moi. o2Nb�Qyy�2
SANITARY SEU!E-)
CONSTRUCTION RECGN13
Sn1S_1_
1-20 W
Street (or location) : }33r C ouwTie„ slr� nv �i,c �r titer z q 3
Contractor: Calles Contractors Inc.
Date Installer' 6- 2y. 83
1 Z/Z —TO MH Z/3 i
blye Sta. On Mlain Z4 90
WYE
SIZE
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.�'W
� LENGTH
LAYING
L E N C T H
$X 'X 8
PVC
-
*Hcrz.= Total
PyC
V-33
St J
sot 35
SDS. z e
NOTES:
Drop
ope+ Horz=Tota:
Z 7• y b
(0.33 t gyp./S - Z�o•y�
TV CABLE I /•/S 8EC•O. A40
/j/5� �EMDS CLEallo•,T /-G ' SC -Low Sat f Ace
fPE Q.A 3(F , /. e , 8'EN;"0 e. D . i4-0
2 6' /3E Gew sure fAC�
17. 'S STN 3
8" MA/Al
Depth of Cleanout33 CF1cw Line
Cleanout 21' From M p iwj
Layed C �oj AvTErt 'OR0,0
No Basement Service
fgo•8
PSH 2 / L
N
Amounts pertaining to Work completed 41.-hj5 period, reviewed and approved.
for
Contra.,ory Step.
16 g
Property Address:
MH 212 to MH 213
,.04k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1 318 Sip Contract No. SD15-1S
-1-3-a 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.
1
� 1t
1 0 Riw
SAN.
50' ww H SW5-213
POW STEL 1
5' TYPICAL
� 4
343 0 )
(133)
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: �- � / - 8 ��� ���,�,�
Owner (Print)
I LWA,#-t Ho%Z96AKE�
Owner's Signature
Attest: b>�
WaW, Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
r �-
AMW
1`5�- -\
WASHINGTON
COUNTY SANITARY DISTRICT
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:
C/�
1,'Address1 3 3 C� 0c. t-7'-� r y-
Signed( '2"
Property Owner
it Date 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, Inc.
Approved by W.C.S.D. Inspec
Date
3