HomeMy WebLinkAboutLat_13840CountrysideDriveWASHINGTON COUNTY SANIT-A•RY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.�
DATE
SUBDISTRICT D*+O. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGExT6tAM SYSTEM bLaU.gansville Orchard
Permission is hereby given to: J_ Gephe11 J, x Pd i riCid A. iJCS e
For Property Located at: 137 Countr.ydide Dr., Maugansvi Ile. Maryland 21767
Stepi�en D. McAfee
owned by: Pa rteia A McAfee Address: 137 Countryside Dr. Maugansvi l le, ,ib 2i t-bY
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
( .i ) Units
To Main Line:
Other _
Industrial
Connection Fee $620.00 Date Paid i -r
To connect to a public sewerageXDB] Xsystem (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 -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
Plu Ai 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: Permittee 1 Plumbing Board 4
Field Offi
Date
4. /"I'/)�P�
'"tiSHlfaGTON CCUN,TY SAPJITIW/' ':ISTRICT S�,f`4TTARY SEGUE" L;'iE r•_
UASHINGTON COUNTY, MD. CONSTRUCTION REC[R�2-
Project: Mauoansville/Orchr.rd Hills SD15-1-5
138
treet (or location) : _ Q, ,ir Y ssor 'a�RrJE Gas ` X44• tom'
Contractor: Calms Contractors, Inc,
M H a —TO
Date Installed V - a7-83 Wye Sta. On
W y E
517E �
5IZE–TYPE
TYPE PTFE
C.O.
DEPTH
C.O,
TYPE:
LATERAL
EXCAU, I
LENGTH
_ LAY1i,JG
LE?NCTI1
$••+cb•,
%• PJG
*Hcrz.= Tota
%JJC
ot
S 35
S0a. 24
_ �aaa�e�ae+�¢rs�.arr�rs-x.,crr,r
51op2 } Horz-Tota.
6ec.EP9*. a ¢c.ccrR.rc cr..�es
t.t GF -gr...z;.aa t -o. srus a.V.,
Drop
NOTES:-gZAZ.3v r,i a C^rs..E s
as 8
S. 3 t J9.9 `
C•o,
fit," u,�aiuwce
I
1 Wswc c 3
..Sc&xe
4, t.o.,..,r a -1st of --Oct.
Depth of Cleanout 3.4(.�a r F I o w Line
Cleanout 19•`6 From I seuiFw rr4As..,-
L a y e d C .2, oo A Fr= -orzor-
_�o Basement Service
c o.
r LJ
M WI .213 Ft o,„)
Q
meuriLs pertaining to work completed this period, reviewed and approved.
t CSi� ins r •r�; or Con�ractors f ep,
A
Av� ANWe
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
,I3BM) Contract No. SD15-1S
Property Address: 4-3-:� Countryside Drive -�
MH 212 to MH 213 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.
GO
QD
3 I I
I F.H.
I
8" SAN 50' Riw
pMH SD15- 212
i
I__--
--tiQ 1
344 Q
(137)
( 1)
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: l� c�5� rC�� /t. 0,4 (',,e --
Owner rint
Owne s Signa re
Attest: AL.� v�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
fi{
`vim .L i
z
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:
,3& `/
V
Addres1
�igneds_
'Property er
c/ Date Ls alo J3
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 .C.S.D. Inspe r pl`�
Date