HomeMy WebLinkAboutLat_13925DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT -0, "i'.
PERMIT TO CONNECT TO PUBLIC SEWERAGE4j&5ff SYSTEM
�_�1
Permission is hereby given to:
arr.y B Shank 15 1
For Property Located at: 318 Mt. View Avenue, NaugE,itsv 1 1 ! e ,mary1 aIle
Owned by:
Larry D. Shank Address: P.O. ` Bov 3€2, M,3L! !an_vT 1 1, MlarvJ ann 2'-" ti
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
) Units Other
Industrial
Date Paid N0'jQlduer'. _Q, 1 4
To connect to a public sewerage/vsystem (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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer i
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 Ane
Plumbing Vpector
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:
DISTRIBUTION: Permittee Plumbing Board 4
Field Office 1
Date
�i'tit]N CQUi iY SANITAR`#;IS RiCT
GT
JASHINGTON COUNTY, MD,
1IT...Y C " ER i -
CONSTRUCTION RECCi LD
Project: Mau on_rsvilIu%Orchcrd Hills SD15--1-5
Street (or
location): 318 M0 mm -14 V1 �UAT- Za)�� �'e,�.4ve.
Contractor: Co,112s Con-rcctore, Inc,MH
TO M H
-TERM.
3'7 to
I." M�'31{.
Date Installed % JMJ 84 L1;�e Sta, On gain sr„ori
kit 'r F Z 7 (a 0 +0 L
WC SIZE -J I YPc DEPTH TYPE J EXCAlV LAY1N'U'
5-17E iTYPE PIPCI_C,O, C.O. LUERAL } LENGTH LET11
�. - �-
o.�c-oF -%-Hcrz.= Tctal.
M k% .. Dv(- TAI C-- (, .UZ v C S t' d,
45.50 � yy,SS�
a
t Drop
"SOT; S:
� S,�oVCR
/hu ( ! ALI
3�c, 3�1a
4.
ope+ Horz=Totai
Depth of Cleanout Co. 4Z -flow Line
Cleanout (AZ,Sd From
L a y e d
iAN%mnvjPJ -Sasoment Service
MKO' 4o -j5
134 0
3+m
`PERM. NH; 37(o
AmcuntP pertaining to work completed 'LJ -.-J5 period, reviewed and approved.
AY
41CSu Ing=r /'Con -ictors Rep.
I . LAIWA . 1 Ulb Mik 374 0 1W
C, , &, .
AWk
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
/3925 0,z-cL-4 V,&, .Ave. Contract No. SD15-1S
Property Address: 318 Mountain View Avenue !_
MH 4-o -.;5 to MH '�,7&
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.
DMH SDI 5-'316
4
3
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/ 1811 OW
F. . R /w
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XI
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D 15-317 o 14116DIS -374
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I I 296
(3 1 S )
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 pr ent damage to the cleanout
which will be installed by the Dist 'ctr ner.a t e p perty
line.
Date: / - V� Z_ 1'� �
Owner Yrint')�'-i
Owner s Signature
Opbl Attest: ` c
Was Co. SanitarSF District
(Form WCSC-1)
Replaces Form WCSC-56
Plans all for lateral to be
. WASHINGTON COUNTY SANITARY DISTRICT
33 West
ngton 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:
Date /I - / Z -- (13 _�
1,.ashington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21700
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, enc. / ///
Approved by W.C.S.D. InspeCt—or
Date