HomeMy WebLinkAboutLat_13803DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. . 41
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT 1114- 15
PERMITTO CONNECTTO PUBLIC SEWERAGE} LAW SYSTEM 143L`1gansvil e/Grehard
'rTills
Permission is hereby given to: 0 i7t� d 1 U E d rfl;`1 d T G
For Property Located at: 100 Mt. View Avenue
Owned by: Donald FKarnoart Address: P l 204 7 ivlariS�n�VI' j6
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $020 (ftp Date Paid i i -- )--
To connect to a public seweragelwp&r 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 if
Ito
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: L`— 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 Plumbing Board 4
Field Office 1
Date
FA
CiT-yl DATER
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S _
Property Address: 190 Ue 13$03 Dj-s+ani V4W Ave.
MH 311 to MH 312 Dwg. #601-056
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.
i
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W I
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3 I �a
04 1 284
M (100) I
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N fl%3p4�D� O
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8" SAN MH SDI'
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: 17 9 / S 2 m QJkw�--�N L-7: . l �A vat ka- n
Owner (Print)
Owner's Signature
Attest: _ J JI -M
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITAOM- DISTRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATERi-11
CONSTRUCTION RECORD
Project: Maugansville Orcherd Hills SD1 S -1-S__
13Ts63 +
Street (or location) : /Oo M t. Vim VF_ •
Contractor: Callas Contractors, Inc.
Date Installer' // - Z - 83
MH 31/ TO MH 3/Z
Wye Ste, On Main o 1' -TZ 2 ✓
WYE
S-IZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING -
LENGTH .r
*Horz.= tal
8 x ( x f8"
., Pvc-
PVc
5. /�
St 3
51)2 35
Slope+ Horz-Total
Drop
.
NOTES:
Z/ o
S.is +- N-83 : l9.98
ZI:��- ys3 5
8, M ql,N
Depth of Cleanout 5.1(. Dflaw Line
Cleanout /6.9' From �- MgiN L;a,-
Layed @3..,_.. � sa;r'A,e nxnP
No Basement Service
(rI H;;
3)1
MHS -t?/Z
Amounts pertaining to Work completed this period, reviewed and approved.
BY _
V WCSU- Inspector Contractors Rep. M�