HomeMy WebLinkAboutLat_13824DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT
\
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
_ To Main Line:_
Units Other
Industrial
Date Paid
To connect to a public sewerage/water 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.
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
Plumbing Inspector
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitt
Plumbing B
Field Offic
Date
iii
01''
A OWN
c t T -Y
tWATER
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1S
Property Address: 133 Mountain View Avenue /3g;)V b,Sia z4 V p,,Jl�vp.
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.
7C
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: /2//0/ S 2 C4P �. C Mpb//
Own r (Print)
caner s signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
.tOk
' WASHINGTON
IL �
Aft
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:
--Ad
Address_
I/ Signed
�� Property Owner
'Z Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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, Ing.�„�_,
Approved by W.C.S.D. Inspe or
Date co 1/0
:WASHINGTON COUNTY SANITPOOki DISTRICT
WASHINGTON COUNTY, ISD.
SANITARY SEWER LA T ER;"L
CONSTRUCTION RECGFZD
Project: Maugansville%Orchard Hills SD15-1-5
Street (or location): 133 /'7T J+Ew /SUE 30S,
Contractor: Calles Contractors, Inc.
Date Installed�A)cL)
MH 313 TO MH 3/ y
Wye Ste, On Bain 2+ Z ✓
WIL JILL_ 1 irL_ uL.I- III i rrL L.AL, nv. Lniltuu
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
�X� X 6'1 PJC. *Ho
T
$ PV'C' L/.z6 VF St'd.
S02 ZG
NOTES:
Drop
Z`s?kB
Z 2,30 L.i
11'51ope+ Horz=To
3, 6 Z, t /8.30
Z1.9Z L
Depth of Cleanout N .2 6 2,Flcu Line
Cleanout 17, `I from or MA r N L/At F_ .�s...�..� �.._,.
L a y e d �. S
No Basement Service
MH' -J' 3 + 3
a
STA
MH#" 3 1 y
Amounts pert(�ainitn�gq�to work completed this period, reviewed and approved.
BY j�
u ILt w. A a K.. L,a.R.2. �,..._....
WCSU InspectorContractors Rep.