HomeMy WebLinkAboutLat_13820DistantViewAvenue,JAS�41NGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO.
DATE
SUBDISTRICT ,0 -
PERMIT TO CONNECT TO PUBLIC SEWERAGEF ATKR:SYSTEM aW./', iaSV'_.i..1_C/ t^c :'.'Ir
Permission is hereby given to: jQTt i^ey , D1,;K I ilSon 2
For Property Located at: `31 Mountain View Aven`ue,. ��lauga.nsville, PAID
Owned by: Jeffrey S. DickinsoAddress: P.O. Box 84A 14augansviIle, MLS 21,x'67
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
X
Units
To Main Line:
Other
Industrial
Connection Fee 0 . u . r J 0 Date Paid
To connect to a public sewerage/vXXX (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.
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: Date 2
Plumbing Insp for
57
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 i
Date
1 cow Orr& O Frc
�• Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
Property Address: 131 Mountain View Avenue /39zo
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.
to �4�cdGt�iY\YILCII�11�t
342 L309 ) 3O
�1
10-
H SD15-313
4dvWW°1ti, 8 SAN MH
s w —
R / w 77
IL:J
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:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form 14CSC-56
'..'ASHINGTON COUNTY SANITA�* DISTRICT
WASHINGTON COUNTY, ISD.
Project: Maugansville/Orchard Hills
SD15-1-5
/3 Sao D., V/?c.J 14".e.Street (or location): I3t M? �1F�,, %,gr 30?)
Contractor: Callas Contractors, Inc.
SANITARY SEWER LATE..,-.
CONSTRUCTION RECOR0
Date Installed__/Uoy 3. 1.9- 8 �
MH 313 TO MH 3 1 � ✓
Wye Ste. On Main- V
WYE
�SIZE
SIZE–
TYPE PIPE
TYPE
C,0.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
$ x6
6 u PL) C
P Uc
x'10
*Harz.= Total
Xg
sARZG
V~
St'd.
2y,00 t- I=
3 �F
o pe + 7Hq7 = o t a1
Drop
NOTES:
a'$T(,.B
Depth of Cleanout 1//0" CaElow Line
Cleanout 19,_`f 3 ' from 4L Or P) A Ird L I Al E
Layed @ 10 r4
No Basement Service
MH313
M
0)-4. yS,s'z MHS 31 q
Amounts pertaining to work completed this period, reviewed and approved.
BY100
WCSU Inspector nor � �---•-
P Contractors Rep.