HomeMy WebLinkAboutLat_13812DistantViewAvenueWASHINGTON COUNTY SAcNffARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE
P.O. BOX 571
SUBDISTRICT_ -.gipjr,'
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WA-TM SYSTEM
Permission is hereby given to: kago? r f `ia K e t' I 3?)/
For Property Located at: 121 Mt V i e,g AV Q n u R_
Owned by: kojer vaker, Address: 8Qx 247, Mauwansy i I La1 7 6 Y
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial Industrial
Meter Size _ Connection Fee $e20,UO _ Date Paid
To connect to a public seweragelvM3M 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
C
Secretary -Treasurer tl
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
Plumbing In ector
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 1 Plumbing Board 4
Field Office
Date
c iT Y
W AT EI?
OP F
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 121 Mountain View Avenue 38/z D,s anf V,eu` 14W
MH 313 to MH 31¢ 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.
r. —I
X
I i 8.. SAN. DMH SD15-313
R / W -
_Y 1 FX I
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:
Owner(Print)
Owner's Signature
Attest: j
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
3
WASHINGTON 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 conditions:
!/Address_ /o2 /
SignedZ, aZ4,,-J
Property Owner
Date
i
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,
Approved by W.C,S.D, Insp
Date (n lfo/ R
WASHINGTON COUNTY SANITAj^ DISTRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
J?V 2 bj'sl a"* V' e'J 14V O
Street (or location): i Zi InT L)TEw Aye cA.l. 3 ( i)
Contractor: Callas Contractors, Inc.
Date Installed /I- -� - � S
MH 311 _ JO MH 3 y
Wye Ste. On Main
WYE
SIZE
SIZE-
TYPE PIPE
TYPE DEPTH
C.O. C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
g x 6 x $
" PUC*Horz.
PJC
= Total
sD8 Z�
5- 08JF
Std.
23. 70 1-
Za, 8 1 1-1-
lope+ Nor otal
Drop
NOTES
I
S,oB
i 0/o
Depth of Cleanout Y. o p; ' Ce -Flow Line
Cleanout /P. 6:Z ' from C o F /"A /A; it M E'
Layed 2
Basement Service
v
oc;
`J � 5 TA O t X V -7 L
iiHr 313
Amounts pertaining to work completed this
a J'J L9
WCSD Inspector
MH�,'4 3 r `I
period, reviewed and approved.
✓ i"� Contractors Rep.��