HomeMy WebLinkAboutLat_17927GardenViewDriveWASHINGTON COUNTY SANITARY
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEJWAtU SYSTEM
Edgar H. Hors
DISTRICT PERMIT NO.
(301) 791-3083/3084` DATE
^ �G SUBDISTRICT C. '1
Permission Is hereby given to.
For Property Located at: 159 Salem Road MaugansviliP Mary]/ -nd i'16 Z
Owned by: _Joar H. Horst Address: {t Sox 35Q,_SA em ro<ad iat�QiS1Ot!ii.
f'
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee $620.00 Date Paid
To connect to a public sewerage/92- 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
Final Inspection Made BY:eld Date
/4Plumb' 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:
DIS IBUTION: Permittee l Plumbing Board l..;
Field Office E
i
Date
rptcsr-
'�'�.SHINGTON COUNTY SANITO�Y/ 'STRICT
UASHINGTON COUNTY, MD.
SANITARY SEWED. L3. T E�;'?
CONSTRUCTION RECC�C
Project: Mauoansville/Orchard Hills S015 -1—S
Street (or location) : 159 S.*44-s" lizo, GAsSOlgr
Contractor: Callas Contractors Inc. ("M---7 �r-dev\ View ROQ8 w-
MH_!3i-_A TO MH 13I-3
Date Installer' -7- 2-(. -83 Wye Sta. 0n f11ain t1.;z L,
WYE SIZE— TYPE DEPTH TYPL j EXCAi1. LAYI;,,G
SIZE TYPE PiRE C.O. C.Q. LATERAL ff LENGTH LE1`.(C H
g':I *Herz.= Total
oar c
4oR. 35 Sot Lt, Pve. J., vF St3d. 36.5 �F 37.1
NOTES: i
b Fta..,r co
•- � s
I86.)A r'iER
Dro
ope + norz=
45` 6F.40 A-30 Z.S`o sr -5
i
Depth of Cleanout 3. si Ca.,�Flow Line
Cleanout 33.20`: From seicG
L a y e d
AJo Basement Service
MH;.1 13► -A
R ua w
C.O. 'E`-ErdoJ�
�IH� 131-8
Amcuntsertainin to work completed ti is period, reviewed and approved.
By
!.CSL ins��^_.t.or. M - iontzcctor pep""'""'',__..._._.. ._
Washinguon County Sanitary Distric
SEWER SERVICE LOCATION
` Subdistrict No. SD#15
Contract No. SD15- 1 -S
Property Address: � �g--- t_f —go'AU_ (191ri Garden \117i1\_)R0ac1
_ MH131A to MH n 1 R _.� nwr_ #037A
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.
r
Date: ._�_� 5� 3
Owner
Owner
Attest: ( /,
Wash. Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56