HomeMy WebLinkAboutLat_13922CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE*j*& SYSTEM
Permission is hereby given to: u ) oe 1 w 1 ckS
PERMIT NO. � j O
(301) 791-3083/3084 DATE 1_„
SUBDISTRICT NO, 15
Mauga:isvilla%Orchard
Hills
For Property Located at: 225 CCun .ryg i if, ilrj y,
Owned by: 1- • U e l W 1 c k S Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620OU — Date Paid IQ_ IA -�j?
To connect to a public sewerage/v)Wf system (with proper abandonment oftprevious 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.
Building Permit No.
P._,�,IA � . Da&_�� -
Secretary-Treasurer'
ecretary-Treasurer P" JD� d
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: X�. 9 L s�/ Date 7`41
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 1 Plumbing Board 4
Field Office 1
Date
':lnSHINSTON COUNTY SANIVOW DISTRICT
UASHINGTON COUNTY, MD. 1,.
G,��,cst�� ✓
SANITARY SELER LATE,'
.
CONSTRUCTION RECGRU-.
Project:__ maugensville/Orchord Hills S015-1-5
1i
Street (or loca l -ion) : C ou•v j,Q , S j of IDg G'4- 35 _
Contractor: Ca11as Contractors Inc.
Date Installed --y- 7,2 - 83
{"H
Zo!_-
TO MH
7-oZ,
Wye
Sta.
0n Main
/± 7/. S 9`�`
gX 6"X
WYE
SIZE
5IzE'Z
TYPE PIPE
j TYPE -
C.O.
DEPTH
C.O.
TYPz
LATERAL
EXCAV,
LENGTH
LEn.;GTI{
gX 6"X
Sot zcE,
*Herz.= To al
•
/OVC
I VC
$. 75 •
St'd.
SD2 35
#Slope+ Horz=iota
NOTES:
Drop
,
Y-70' t a-0': /0.70
C•0•
( A
1
c4
AAA
Depth of Cleanout 5.75 aFlow Line
Cleanout 7. 0 From � /4,q -4 6 .1
Layed (D 9 �7vz Drop
Basement Service
MH;; ZoZ
MH #- Zo/
Amounts pertaining to work completed t;,is period, reviewed and approved.
BY
UCSu in s P Cc t 0r ---r� j Contr ctoor Rep
Property Address:
MH 201 to MH 202
e.w
•k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
j 3 R 2'2-- Contract No. SD15-1 S
--2-n Countryside Drive
Dwg. #601-046
Place an 'X' in thesketch 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.
4,w
• FFN
oW Fer s� �
620 R f
�O
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: 9--ZZ--B--z-
-F/a-rt'. 1 e k JAY 6 20& A N)
Owner Print
-g
Owne s ignature
Attest: �Y 6
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56