HomeMy WebLinkAboutLat_13930CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.3 7
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAG EiSYSTEM
Permission is hereby given to:
For Property Located at:
(301) 791-308313084 DATE "_Z-
SUBDISTRICINO. 15
maugan.sville /Orchard
Tzills
Owned by: t`il(iael �arlionAddress: 30'1 Countryside Driv ,. i,, _ansvi I it
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee — $620 Dd Date Paid
To connect to a public sewerage/0= 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.
Building Permit No
pal��InQA Q . D '—'Q"
Secretary -Treasurer VP -9,^ 'Ili _ 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: �,�f cxA–�-�` 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board 4
Field Office 1
Date
t1nSHINGTON COUNTY SANITOMW- DISTRICT
UASHINGTON COUNTY, MD. �.
Project:_ Mauoansville
Street (or location):
chard Hills
a�0
Contractor: -Ca -112s Contractors, Inc.
Date Installed S- !/- -S02 3
SD15-1—
SANITARY SEDER
CONSTRUCTION RECG"r%C
S3
("H Z o3 TO [IF, z
Wye Ste. On Fain / f o 1 .7 A-
W Y E,
7A -
WYE
S-1 7E
SIZE- J
TYPE PIPE
TYPE
C.O,
DEPTH
C.O.
TYPE
Lt`�TE�f;L
EXCAU.
LENGTH
LAYIiiIt
_- LE T!{
*Harz.= Total
pve-
PV
3•'�g'
St'd.
SOP 35
SD2 Z�
.�.
5opa + Horz-Tota.
NOTES:
Drop
3 Z.o�
/. 5 � t z�•7 : Z8.
S• ~;AA'. C#.A/E
Z(o •7
Al 5' /3C- AJ C)
A --J CLIE44o&tT
Depth of Cleanout 3. 9 8 rFlow Line
Cleanout Z6.Z From Sr m,4C ••/E
Layed 0 A Pi Ee oz"e p
• Nti Basoment Service
fol.
MHI:' 'Z t, 3
s
r
Amounto pertaining to work completed 'Uhis period, reviewed and approved.
BY
irlw'Pz o1, / Cant: rac I ors "r�cP s
i 1 -r . .
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13930 Contract No. SD15-1 S
Property Address: -3-al Countryside Drive
MH 203 to MH 204 Dwg. #601-046
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.
ecu
My SOBS,'jvw, 3i c
'30
OCO
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F01fie• �
35THRUST BLOCKS
)
2
pFR ( )
SFF O4/V,
S
.. p we e6. 2 pFR F i
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: Z�,Z�% -
Owner (Print)
Owner's Signature
Attest: All
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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:
Address_ '.j
Signed
Property Owner
L' Date ; „� "/'G �
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.A.�
Approved by W./Cj ,1S . D. Insppe or c��_
Date `-tom 1 -L(f)' 4- 33