HomeMy WebLinkAboutLat_13807DistantViewAvenueVASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
) Units Other
Industrial
_ Date Paid
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY:� lig Date
Plumbing Ins ctor
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: Permi
Plumbing Bo
Field ___ Offi
Date
vJATE R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 116 Mountain View Avenue 80.7 D,'s4a l Vi4J Aw
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.
LLJ
i z
w
ao
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:
Attest: /Ll;� a A.0
Wash. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITA#*DISTRICT
TYPE.
C.O.
SANITARY SEWER LATE.�J'•L
UASHINGTON
COUNTY, MD.
LAYING
LENGTH
CONSTRUCTION RECORD
Project:
MaugansvilleZOrcherd Hills
SD15-1-5
Street (or
location: iib MTy„�� ��
13Bo7
�C.9I z8S-)
Contractor:
Callas Contractors Inc.
Stud.
367, 70 LF
32.43 c..F
MH
3! Z TO MH_..
Date Installer'
Ao_ yj / 9 83
Wye
Ste, On Maine sem✓
WYE
SIZE
SIZE--
TYPE P'PE
TYPE.
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
6„ ��
...�
*Horz.= Total��
SD/►' Z6
PUC
`i J 1/F
Stud.
367, 70 LF
32.43 c..F
op e + Ho =Total
Drop
NOTES:
CJP CAaL r- ,
P 1 C R a l FRo ✓�-� a F C O
at- 1
0�_ T
Depth of Cleanout S y/ ' CaFlcu Line
Cleanout 36, 73 From C o F /)7/9 /Al LI /11 15
Layed 6
NQ Basement Service
57A0 I t' 3Z,5 /?
MH ' 312
MH#3!3
Amounts pertaining to work completed this period, reviewed and approved.
B Y Q peri,
WCSU Inspector Contractors Rep.