HomeMy WebLinkAboutLat_13819DistantViewAvenueMASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE_ { fU SYSTEM
Permission is hereby given to: Wayne ,!ja.;K
For Property Located at:
Owned by: Mayne Haw
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO.
DATE
SUBDISTRICT No. 1
Maug:ansville/Orchard
Ti116
iliaUgCtnSV_1 i Ie,
Address: ' ew -Avenue. HkO*M-901AX MQ 217,67,
To Main Line:
) Units Other
Industrial
Connection Fee �62() .00 Date Paid 2/61/86
To connect to a public sewerage/?&XN 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.
SLretary-TreasureU.
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 &57
Plumbing I pector
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:
.� Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Bo
Field Offi
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
C-
0 (0 LAJ ATE
i
�21q Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 130 Mountain View Avenue I38i9 f31sfa14 V/eLj Avc
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.
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:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITA^DISTRICT
UASHINGTON COUNTY, MD.
Project: Mauu ar.sville/Orchard Hills
SD15-1
l3?19 ,vjs-iezN f V,'eLj A�,-o. -
Street (or location): /30 /yiT U tw AUE �,Ax
SANITARY SEWER LATER,';
CONSTRUCTION RECORD
Contractor: Callas Contractors, Inc.
Date Installed429,1 -7 1-5g 3
MH TO MHy
Wye Sta, On Main 35
WYE
'S-IZE
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
�dx
6 11 PUC _
P.U.C.
__..
*Horz,= Total
6 n 8
s 02 2 6
3- F 81 V
St'd,
37. 7D �F
3 `�.
Slope+ Horz– al
Drop
NOTES:
L---�
ra If W/1"
I
68 y 8
Z 15T(xg
Depth of Cleanout CLf lain Line
Cleanout 3z. `! S' from C o,= 1*n191,v41,vF_
Layed Z -
Basement Service
61A Jt 31
MH;fr= 3 ) 3
Amounts pertaining to Work completed this
BYft,.1 2,\"o
WCSD Inspector
cora LIC SC– -, 1
MH# 3t y
N
period, reviewed and approved.
Contractors Rep. —