HomeMy WebLinkAboutLat_13823DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAG~tftYSTEM
PERMIT NO. 169
(301) 791-3083 / 3084 DATE AUgust 31 1
,$SUUBDISTRIC I" G - 15
IVIRIII98LITIEV 119JV_r_dks rd
Permission is hereby given to: A. No ►^m n IW -3 Hills
For Property Located at: 134 int. View Avenue iL r . MD PIZ67
Owned by: A. Norman Cosner c Address: 009 236,
Type of Connection: To Service Connection
To Main Line:
Type of Service: Residential ( k) Units Other
Commercial Industrial
Meter Size _ Connection Fee
—._ Date Paid 8-31-P.4
To connect to a public sewerageboMr 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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
- pa&wy 13 � � - 4 A 4
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: D l
� — ¢
Plumbing Inspector Date
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:
Date
DISTRIBUTION: Permittee Plumbing Board 4
Field Office 9
'V"ASHINGTON
COUNTY
SANITPOOft DISTRICT
"" SANITARY SEIJEP LATE!Ri;'
WASHINGTON
COUNTY,
MD.
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15--1-5
J3go?3 1 Wecz .
Street (or location): 13y i'hTyIFW /SUE (a zS t�
Contractor: Callas Contractors, Inc.
MH 31y TO MH
Date Installed It)o,, :4,_tS 8Z Wye Sta, On Plain 04- t .S._S R`�
WYE SILL-- I TPL ULF 1 n 3 i YL • &_M a LIY l.:
SIZE TYPE PIPE C,O. C.O. LATERAL LENGTH LENGTH
B x " PvC *Harz.= Total
X f3 sp2 z6 N.0 6.28 ��= St'd. 36.70 i_F
33. 71 LP
NOTES:
G I/W. M.
C. 3
Drop
215-Twa
ope + Hord-Tatal
Depth of Cleanout C,, 2 a CElow Line
Cleanout 5. 8 From COF M .A) /NL INE
Layed a
• Basement Service
ISTO 04 I;' S R
MH;'3ly
h
I—,
MH#31 S
Amounts pert(�aining to work completed this per. ad, reviewed and approved.
d
WCSU Inspector Contractors Rep.
A ANk, INMW*
Washington County Sanitary District
SEWER SERVICE LOCATION
`SD#15
Subdistrict No.
Contract No. SD15-1S
Property Address: 134 Mountain View Avenue J 38x3 LN, ,4a.nf (ii't�J Avf.
MH 31+ to MH 315 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: - / - 'i L -S S _V
Owner(Print)
wner's Signature
Attest: z
Wash. o. Sanitary -District
(Form WCSC-1)
Replaces Form WCSC-56
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:
l0�
Address f
Signed
/ 'Property Owner
v Date 11-7 �2 1;i
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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 Con
Approved by W.C.S.D. In
Date