HomeMy WebLinkAboutLat_13802DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER 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
To Main Line:_
Units Other
Industrial
Date Paid
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
gi1(
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: q, . _L'S�L
a.2— _— 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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitt
Fiel
Plumbing Board
MR
Date
O.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD¢#15
Contract No. SD15-1S
Property
Address:
115 Mountain View Avenue 13 -2. Do' fa. 4
V,
MH 312 to
MH 313
Dwg. #601-042
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.
O 313
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: hurmn e- W"- -_
Owner (Print)
A 2 �4 2.:t
wer s
eSignature
Attest: Lj L4
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
1WASHINGTON
1K --,T
�,ATE�N� Ta Bf'
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
u
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ /
Signed
-Property Owner
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.C.S.D. Inspect
Date /" / %, / R -:k
WASHINGTON COUNTY SANITAPk DISTRICT
UASHINGTON COUNTY, MD.
Project: Mauqansville/'Orchard Hills
Street (or location):
v
Contractor: Calles Contractors Inc.
Date Installed �n�� 3� I9 p3
SANITARY SEiJER LA T E., t.L
CONSTRUCTION RECORD
SD1S-1-S
i 3 So a a'01 -4.f V'i'e—
MH 3 1 2 TO MH 3 L 3 le
—41
Wye Ste. On MainCif .S6S6 L v
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
8x 6xg
6``PuC2
PUG.
*Horz.= Total
.�'z1 u r=
St'd
5 2�
6
.
1.
�6,t3 LF
16 pe + Hor tal
Drop
NOTES:
a2'9.4 3
2'ST►$
Depth of Cleanout 5-,x 1 1 ^F'low Line - -�
Cleanout -2,q. 4 3 '_From
Lay{ed 6. 3' r
On Basement Service
a
MH, -i'312'
MH# 3 t 3
Amounts pertaining to work completed this period, reviewed and approved.
BY JJ104
WCSO Inspector Contractors Rep. ..��._.,.�..__._