HomeMy WebLinkAboutLat_13938CountrysideDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
(301) ful -3ub3l Juts
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM n4 e
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 I
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 SFacifications.
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 / l%
Plumbing Ins for
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: Permit
Plumbing Board
Field Offi
°:.'ASSINGTON COUNTY SANITY'`- DISTRICT tiJi//iAhts C' SANITARY SEWER LATE;;_
UASHINGTON COUNTY, MD. CONSTRUCTION! RECC�D
Project: mzuoarsville/Orchard Hills
Street (or location):_ 3" oLIA % S/U p%VE G A= 3 SS
Contractor: Caller Contractors Inc.
TERM. LO3 ZO�
MH_ y TO MH
Date InstalledS - Al- 83 Wye Sta, On Main�+l�0 K '
WYE SIZE -J TYPE DEPTH TYNE EXCAV. LA'(I[,,L:
SIZc TYPE PIPE C.O. C.O. LATERA LENGTH _ _ LENGTH
*Horz.= Total
NoNF 6.. Pvc PVC- 3-60" Std. C06.15 S'
5 O zc0
Slope + Horzfl-
Drop
NOTES:
M#A( HoLE _ - - x 5 T.N S J 2oJ...� _ _ c CEAAiouT
17---
W,9TEt- sEQ�/•CF
V14*'EQ. SERV,ce 31.. Joe"
U41
Depth of Cleanout 3. &o Line_
Cleanout 6S/. o ' From J MqN VOCE LOS/
L ayedr�
ZVC> Basement Service
-W
MH,I Z03 TERM.
Zoy
Amounts pertaining to work completed this period reviewed
reviewed and approved.
BY c
rr
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
1:3 cl �;q Contract No. SD15-1 S
Property Address: -4+ Countryside Drive -_
M 2;>-�, o MH 204 G 216° 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.
355
304)
fir
co
�., Z
a a 10
Do
�(0 /
0
4 CL
354
(3 5)
2
o-'
,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:
—r Owner (Pr' t)
0 er s Signature
Attes
Was . Co. Sanitary District
(Form WCSC-
Replaces Form WCSC-56
WASHINGTON
ANk
�/A,vs CSA// •��/
iQ TCPA � To .ab
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 ccrditions:
Address 3<D$ eyokmry-slbr
Signed fD�$ : C'
Property Owner
Date 5-2 - R,
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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 Con -
Approved by W.C.S.D. In
Date 17