HomeMy WebLinkAboutLat_13907CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 238
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE y-1
PERMIT TO CONNECT TO PUBLIC SEWERAGE/Vjb9ff;If9 SYSTEM SUBDISTRICT
Mau ffains vi l l e % Or chatrd
Permission is hereby given to: L. B Goodman Hills
For Property Located at: 212 Countryside Drive
Owned by: L. 6. Goodman Address: 212 CountrYsidi- Drive, Maugancyi i IP, NID 2176
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential X ( i) Units Other
Commercial Industrial
Meter Size _ Connection Fee620.00 Date Paid 9-21-84
To connect to a public sewerage/vesystem (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 n ^^ 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
Final Inspection Made BY:CZ1�y)�(
�.$ aa4,��. Date ''� " �-F=� •-
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: Permittee Plumbing Board 4
Field Office 1
Date
WASHINGTON CCU"QTY SANITA"" DISTRICT
WASHINGTON COUNTY, MD. 1,
Project: Mzucansville/Orchcrd Hills
Street (or location):
M
Contractor: Call2s Contractors, Inc,
Date Installer 6-/6- 83
�,�. �-✓DDU✓n.fcs-
S015-1-5
SANITARY SELLER L„TE=,��
CONSTRUCTION RECCiiu
MH Zi o _ TO MH Z//
Wye Sta, On Main Z+/ . Z L v
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C,D,
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LlIYIilG
LENCTII
"
$x6 X8"
G" PYc
""Horz.= Total Y
pv�
s. 81y
St'
'
5DR 3 S
S OR Z (o
NOTES:
Drop
37-38.
3Slope+ Horz=Tota.
Z•63't 3z.SS'= 3S•3t
M
/Z ' WgTa2
l MAL',
C LG -AN oK i
�J
C CCAA.4A/ec
Depth of Cleanout 5-8q �'Flow Line
Cleanout 33 From S� Mq;,y
Layed C' 3 5 /a P TE iZ .09oto
• A/p Basement Service
4'/q. Z
MH;"- Zio
MH - Z//
Amounts pertaining -
to work completed his period, reviewed and approved.
BY j�-J' ^
L;C:,u ;nspectior i on —actoes hep.
O�1rB G � Z/o
Washington County Sanitary District
r.
SEWER SERVICE LOCATION
Subdistrict No. SD#15
) 390-7 Contract No. SD15-1 S
Property Address: Countryside Drive
MH 210 to MH 211 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.
357 W c
(212) ❑
Q
c
t t Wc
i wLL
t �v
i i i t
12° W
"SAN. DMH t 5 — 211 8"SAN.
do
zm
TEL
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: ()-27Z-8-2_ L T��W""a a4,
Owner (Print)
Ap-
caner s Signature
Attest:
Ta-sh.c/co. Sanita y District
(Form WCSC-1)
Replaces Form WCSC-56
,Ir►
e` WASHINGTON
.z �- a l7�
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:
' U
c 1 /
4/Address
-.11112
4,--'-5gnecV
Property Owner
Z,, -bate 2 R
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, jnc. W_
Approved by W.C,S.D, Ins
Date