HomeMy WebLinkAboutLat_13934CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
yll
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO. _
DATE
SUBDISTRICT
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.
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
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Board
Field Offi
WMSIiINGTON COUidTY SANITY"- 0I5 T RIC T
UASHINGTON COUNTY, MD.
iilo�4s, - SANITARY SEWER LATE' r';-
CONSTRUCTION RECUND"
Project: Maugansville Orchnrd Hills SD15--1—S
13,
Street (or SIDE Oe.---
Contractor:
e• Contractor: Callas Contractors,
r�r�M.zo
MH _10 MH
Date Installed 3- _$3 e Sta. On Main J+W L- �
s- Wye
a.
WYE SIZE— 1 TYPE DEPTH TYPE j EXCAV.
517E � TYPE PIPE C.O. C.O. ATERAL _LENGTH
Sot Z(o
Stud, ,.
/1/046 ( pyc 00V C- S•�i J SS.
Drop
NOTES:
LE NCT 1.,
*Harz.= Total
,SZ•6.
ope + riorz=
=A.vou7 ����7"iM� G�Co.a•..o
64 -'� PE CAAtF-
Depth of Cleanout 0)J CFlew Line
Cleanout 53.15' From ft MAw Nock W Zoy
Layed C Z
• &t. Basement Service
n
M
134° r�
SIH; � Z03 ERPA. MHr Zoy
Amounts pertaining to work completed this period, reviewed and approved.
UCSu 'Tr7cn�r / Contrt:ctorti FteF;,
+ ^ r
LA-meAL INTO MN 06►¢ & 134°
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
1393q Contract No. SD15-1S
Property Address: 30' --Countryside Drive
NIH 2O'3'7u MH 204 1340 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.
0)w
W
354
(305)
,20 \
3
p0 '
o �
35 THRUST BLOCKS
(301
35 �o
(2 2
w� ae S zwFR /
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:
Owner(Print)
Owner's Signature
Attes —
Was o. San tary District
(Form WCSC-
Replaces Form CSC -56
,eJ ASHINGTON COUNTY SANITARY
Q� 0 33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791-3083
U
r�
To: Callas Contractors, Inc.
4e7 -"-,W1 7z,
r15 >67i'e'd
DISTRICT
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_
Date
Washington County S nitary District
33 est Washingto . Street
Hagerstown, Mary�and 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.C.S.D. Inspector
Date