HomeMy WebLinkAboutLat_13907DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT
/ 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
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
fo-1
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO.
DATE __
SUBDISTRICT x'10^ 15
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 SF�cifications.
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
-21-
Final Inspection Made BY: �p i1___ �L�, � `}-y.� __ 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: Date
DISTRIBUTION: Permittee Plumbing Board_
Field Office
5a
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WASHINGTON COUNTY SANITARY DISTRICT
11 /ii
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:
,address
bSi9ned
.Property Oder
gate
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 �)
12ASHINGTON COUNTY SANITARY 64STRICT SANITARY SEWER L„TE '1L
WASHINGTON COUNTY, ISD. CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills SD15-1-5
1390-7
Street (or location): R16 IYIT Ole
E ►► �__
Contractor: Calfs Contractors Inc.
H 31 TO MH _..3 16—
Date Installed &)6 Li 30.1,q g 3 Wye Ste, On Main__J 1 7 1_,e
WYE SIZE- TYPE DEPTH TYPE EXCAU. LAYING
S -17E TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH ....
ex 6 x$ Sp "PL?C *Hort.= Total
/� Zfo /�.I/C , cg.O J VF St'd,
-Z 91, L -F 27, yl j -F
ope + Hprz=
Drop
NOTES:
Depth of Cleanout 8.0! "Flny, Line,-
�Cleanout -From 2 s, 5l i' From CC or 17719 ni I - „v _,
Layed C� 3
Basement Service
g'rh / f —73
I r :' 3 15
MH" 3 ! y ,iH;,'
appro
Amountspertaining to work completed this period reviewed and ed.
BY "CLd A 8a2 � e-A� 67 - I j"'
WCSO Inapec,or Contractors Rep.
P/0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 216 Mountain View Avenue 1390- 131` jani vieLj Avt
MH 314 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.
5-314
3
CD
71
L -_J ❑
W U
Z
W
P
00
MH SD15-315
291
(2161El
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: 11�R Z
Owner (Print)
j
er s Signature
Attest:.2� A 9-R
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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