HomeMy WebLinkAboutLat_13811DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 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 SF3cifications.
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: _ ___ Date ✓— 2-C) - R
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Offic
,►
,a. A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 120 Mountain View Avenue �35�� /�,Z-�a % �'I #, *)
MH 312 to MY 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.
DMH SD15-313
T L .
d2 86
2 (120)
(1I
R/W
4d R/W 811 SA
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: �� /7` $'Z ON/.3c' ,
EA 11
Owner mint
Owner s Signature
Attest:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITA#"► DISTRICT
UASHINGTON COUNTY. MD.
SANITARY SEDER LATER i;!_
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
Street (or location): /20 /'J?y,Etsl AUS r,AX
Contractor: Callas Contractors Inc.
Date Installed tic.,g/, 158-3
MH 31 z TO MH .I1 3 L..-"
Wye Ste. On Main z+ ys.z R"'
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYIPJG
LENGTH
p�.c-
*Horz.= To - .,
To -
C) ii
PVC
r
5 "iz OF
St'd,
Kg
SA2210
lope + Horz=Total
Drop
3.y 3 r, z 7
NOTES:
3G. 2,0 LF
3q. 6 7 !_ 1=
C, o.
,_T t
I.S2�
Depth of Cleanout, !Z SFlow Line
Cleanout31, 1 s' From f o F I" A S N LIN E
Layed @ S', S' C5
No Basement Service
MH ! 3 1 Z
MHL 3 1 3
Amounts pertaining to work completed this period, reviewed and approved.
8 Y
WCSU Inspector Contractors Rep,