HomeMy WebLinkAboutLat_13914DistantViewAvenueWASHINGTON 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: — __—____
/1391_.
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
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: Date �' 4, 71.
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 Board
Field Offic
Date
WASHINGTON COUNTY SANITARYAQSTRICT
WASHINGTON COUNTY, MO.
Project:_ Maugansville/Orchard H
is S015 -1—S
-W4, SANITARY SEWER LATEhr'.
CONSTRUCTION RECORD
Street or location r� 1�91y �istaKi V%cam �,
i � 2.3i MT U1E� f` (C�Ar 3e)
Contractor: Callas Contractors, Inc.
MH '3 S TO MH
Date Installed 4Gc 27 �5A3 Wye Sta. On Main 2_t_t3� v
WYE
'S-IZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
g�c 6x 8
" s�/? z6
��
*Horz.= al
S, y6 VF
St°d.
I°VG
#OMF own:,65'R O to A)c,7- KNo4; Hc9u
*Slope+ Hor.z=To
NOTES: DEEP To /-1A✓E THE Lf1TERAI-
Drop
(va
Iz,6 7 t 1460
-aNsiALA-ca 1`T ;oAs s%=r
17, Z7 L.F
APRROX 3 ' AE40W THE 6A5c1"e1Vi
S yb�
3'
i b
I \4,
Depth of Cleanout S, @f low Line
Cleanout 11. , From or MAIN L I Nr
Layed @ 2
YES Basement Service
MH;'11 :3 1 S
si H Z� 13 it
Amounts pertaining to Work completed this period
B Y &;&L c/ '.v 2�--' --- —=
WCSU Inspector
MH# 31 G
reviewed and approved.
S - - -"v
rectors Rep.
e-irY
Oft WA i E R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 231 Mountain View Avenue 13glq Dista.,% V1ec.0
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.
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 S /8 ZAn6, -r<
caner rant
Owner ''s signature
Attest: A
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56