HomeMy WebLinkAboutLat_13913DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER 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
(301) 791-3083/3084
ILI=
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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 C�
Final Inspection Made BY: _ _ Date _ R,— ?J d ^
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 Offic
'JASHINGTON COUNTY SANITARY l:-TSTRICT
WASHINGTON COUNTY, MD.
Project: Maugansville/Orchard Hills
Street (or location): .2
I Ela.) /-) i%
Contractor: Callas Contractors, Inc
Date InstalledI)Fc z f. 19�i3
SANITARY SEWER LATER
CONSTRUCTION RECORD
D1 5-1—S
139 13 fcLo4 Vilc..s
MHS TO MH
Wye Ste. On Main 245�i. �► �i
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
r
�" 5/V zc-
'"
*Horz.= T 1
J
ope+ Horz=Tots
NOTES:
THIS I-47 ERA71- wigs 57-o/3PE,O
Drop
z %. yQ L r
Ci. t Z —
AT THE PRoP cQTY 1 -IN
f=.
No S l CT hi �9 T in i2 E •
27,0 6 Li=
— -
2 "STti8
Depth of Cleanout r" Vlow Line
Cleanout s, y ' From I,AiN"-'Nt
Layed
��ti Kti�c�iti Basement Service
MH = -3 , MH# 3 ,
Amounts pertaining to work completed this period reviewed and approved.
By
WCSU Inspector CaKtractors Rep.
CIT- i
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 226 Mountain View Avenue 13813 D1*SfC-q1 )/'i-eLj !_
MH 315 to MH 316 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.
8" SAN
I
2
R/W
(MAC.
�I
�a
293
(226)
DMH SD15-316
0
v
LOCATi o� CjqA�,EL 2A
9/30 6 3 9-6
L
l
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: �durJOQ
Owner(Print)
Owner's Signature
Attest: lu
Wash. Co. San'tary District
(Form WCSC-1)
Replaces Form WCSC-56