HomeMy WebLinkAboutLat_13940DistantViewAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEr#4VI%R SYSTEM
PERMIT NO.
DATE
SUBDISTRICT No. 15
T,Iauga.n.svilla C rehard
H -1.11s
For Property Located at: 331 Mt Viaw Ayef)ue" t�t�ugansyi'Iie, Maryiand 21767
Owned by: � .
Address: r >62, Maugansvi l Ie, MJ. 2176
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid v} ` ; t
To connect to a public sewerag elvlsystem (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.
f
'r
f,
1
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
C7' C r
Final Inspection Made BY: ��x r -i- a W R CL.A.4L— 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANITARY /'STRICT
WASHINGTON COUNTY, MD.
Project:
Street (or location):
Orchard Hills
S015 -1—S
r , 13
SANITARY SEWER LATER
CONSTRUCTION RECORD -
Contractor: Callas Contractors, Inc.
MH y03 TO MH.
Date Installed bEc 21 1 5 83 Wye Ste. On Main 6, r
I
WYE
'SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
11 sot Z6
P,v.c.
6, 1� v.=
St'd.
*Harz.= Total
P.Yc.
12, fO �F
8.-3� {.F
*Slope+ H = o
Drop
NOTES:
t C.o
r'6
Depth of Cleanout 6,i(.1 MFlow Line
Cleanout 6,36From C pF m q iN i-1 ivy
Layed @ i 0
No Basement Service
STA .0o•t9G.�T' R
MH -:;1 Al 0 3
Amounts pertaining to Work completed this period,,
WCSU Inspector
0
MH# 3 76
reviewed and approved.
Contractors Rep.
"''A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13940 Vi'PLJ AAI . Contract No. SD15-1 S
Property Address: 331 Mountain View Avenue -e
MH 403 to MH 376 Dwg. #601-043
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.
W AVENUE
Md
I
I
10_ 0 (0 a _
t S° SAN
(_MAC.)
R/W --1
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: �� 3 1,8 Z C 5 1z 19"
Owner (rrint)
% wn Js Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
•. WASHINGTON, COUNTY SANITARY DISTRICT
• 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:
I
Address_ ,33/ W%yn[tAin! ViT\,l 19Vf .
Signed
Pr perty Owne
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, Ipc. /M� '41, i
Approved by W.C,S.D, Insfie-ctor
Date