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HomeMy WebLinkAboutLat_17950GardenViewDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084 DATE 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 19 t5O To Main Line:_ Units Other Industrial Date Paid 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: 4b AA, -L, )r 1-, -) ap0 &-A ,(,_,, 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 Hagerstown, Maryland 21740 Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Board Field Offic Date �rSHINGTON COU':TY SANITOpk- DISTRICT Vlijll /AM C . MAAr ./ SANITARY SEWER LATE'.'i UASHINCTON COUNTY, MD. EXCAV. LENGTH LAYIid� LENGTli CONSTRUCTION RECC:'\ 1 IS% Project: Mauoansville Orchord Hills SD15_1_5 C1 -c) Street (or location): -4: ^.;S -IST-. — G -AL-- 1,31 ��� R0ac4- Contractor: Calles Contractors, Inc. Date Installed_ CP/7,195 MH 15S _TO MH 1310 WYE, Sta. On Main 1+ O3 L_ Z WYc S-IZE SIZE-• TYPE PIPE I TYPE C.O. DEPTH C.D. .. TYPE LATERAL EXCAV. LENGTH LAYIid� LENGTli 6" PVC CAST ' ' *Harz.= Total. 8°X�"xg'4.I�, -5 D12 - 2(0 S2otJ StId, Z43 Lr -.ZZ � •3 LF. NOTES:Dro fA6T -1 96W C • v. —10;7 - LDC aTEr> :Slops+ Hr =Tota. ►u - -i vW-Avi:t_ Ivi= /��A . Depth of Cleanout 4•I(-,' ! F I o w L; n Cleanout ZO.3' From 4 ps=� MAIN L a y e d C 4.5 00 Basement Service MH ;` (35 Amounts pertaining to work completed this P y 1= uc-1_.E ,. � MH# 131- perio , reviewed and approved. 1=�... Cont�<�ctors Ficp-, I Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S 7 9.l0 Property Address: 4 d Gowder 1ZooJ _e MH 135 to MH 136 Dwg. //601-036 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. F 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: 041 fR, I9B2- 1N C. Owner (Print) W/ // JAM C . N,,9R 7"/ ill n Owner's Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 /9/ (Z/S`/ --,a Rd. Tlan s WASHINGTON COUNTY SANITARY DISTRICT i 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: J1 / 2 Address , Signed��� Property Owner Date Lz' Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-1-S 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, Inc. Approved by W.C.S.D. Inspector Date 3ZZI�;3