HomeMy WebLinkAboutLat_13815DistantViewAvenueHINGTON COUNTY SANITARY DISTRICT
/+ W. JVASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEAM& >l3 SYSTEM
Permission is hereby given to: a r'ego ry L. ;,w D d Y
For Property Located at: 126 Mt View Avenue I��S
Owned by: Gregory L !hurray Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size _
Connection Fee
PERMIT NO. Ly(,
DATE
SUB ISTRICT
T lugansville%lrchara H__,_Ls
P.O. Box 922, Maugansvillo, MD 21767
To Main Line:
( ) Units Other
Industrial
— Date Paid
To connect to a public seweragel=,Csystem (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 -Treasure
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
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumbing spector
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 -'
Date
Field ,- Office City O ' ''3.;o;.- �
C,'
0 hT e R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 126 Mountain View Avenue 13Y,5 Dis4a�f V eZ Aw-
MH 313 to MH 314 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.
II R/W
4dR/W 8n SQ
811 SAN. -- DMH SD15-3 3
R/W
287 2`
(1
2 (126)
0
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. P
Attest:
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITA^DISTRICT
UASHINGTON COUNTY, ISD.
SANITARY SE'W'ER LATER,'
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills S015 -1-S
13$15 bisiaw(
Street (or location) : 1 Z 6 MTy i Ea) ,90E 7-87)
Contractor: Callas Contractors Inc,
MH 313 TO MH 31
Date Installed )oy 83 Wye Ste. On Bain_ O* S[, 2,R!�
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAU.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
Total
6P*Harz.=
Alx
8
s��� z6
Jc
��`l(oV F
St'd.
37,(.oi-F
3y, 13 LF"
ope + Horzal
NOTES:
6'1 W Vj
G3 tS �
i
Depth of Cleanout 6-,q6.1 !"low Line����
Cleanout 3-z. &I froM C- or 7)m t,v1-/tiAZ
Layed 2 /o
• n)Q Basement Service
. it Ot S' Z-
fY1H; ` 3 1 3
mwLl31`�
Amounts pertaining to Work completed this period, reviewed and approved.
BY
WCSU Inspector Contractors Rep.