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HomeMy WebLinkAboutLat_17908LeonaAvenueWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAG EMA►' -614 SYSTEM (301) 791-3083/3084 PERMIT NO. 566 DATE 11nri1 2, 1�_%'`` UBDI TRI T No* 15 1- augan�vi f ©rE i r ills Permission is hereby given to: i na a L. N U n L For Property Located at: 4'134 Dewe.Y Avenue Owned by: Linda I- Punt Address Type of Connection: To Service Connection Type of Service: Residential Commercial 404 Dewey Avenue jaugansvitle, i•'"t To Main Line: Units Other Industrial Meter Size _ Connection Fee `;;62(), 0.0 Date Paid To connect to a public sewerage/r 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: Date Plumbing Ins for 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: Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Board Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date Field l Office I C -i --Gy Of .� .�;.. -�.a. 1,r 11 IC GTON COU" TY SANIT# "' OISTR!CT '�� ' SP:hITARY SEWER LATER,-.; WASHINGTON COUNTY, MD. CONSTRUCTION RECD;<1 Project: Maucansville Orchard Hills Sn15-1-5 Street (or location): Vo A/ De' wEV qyc Coq= 3SS) Contractor: Calles C©ntractors,_Inc. NH 'Z —1"0 1",H Z Lp Date Installed^ W,ye 5 t a . On Main O+Q)S.�/ WYE SIZE- TYPE DEPTH TYPE � EXCAV. LAY IiIG SiLE TYPE PIPE' C .O. C .O. LATERAL LENGTH LENGTH (o"py, 5t' 'Harz.= Toga PVc G 5 SOR -315 $pQ 2 b *Slope + Horz=Tota_ Drop NOTES: + 3S.�S= 37.Sc C>' t3CLovJ RoAO Syk tACF MA, Al . C LEA -4 ou T gMAiM �� /S/ C CFARANtE ys° aENo S Depth of Cleanout (o• 55 cFlow Line Cleanout 3 5. So From /IAAI-') C;AJ Layed Q Z. S q;TF-,e Atop A/o Basement Service MH"" z14 N !L H;; z Z cf Ar;ourfts pertaining to work completed this period, reviewed and approved. gy .P,:k.0, i 00 . s Ma Ply Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S _ Property Address: ri90s L-eona- Prve MH 219 to MH 220 Dwg. #601-057 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. �- 50'R/W 811 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. D L*/? /\ ate. % 0 (Print) L Owner's ignature Attest: Pa's�h. Co. Sanitar�y District (Form WCSC-1) Replaces Form WCSC-56 i .. �, .�►, �AT�,e,�/ To ,end' WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, l;agerstown, Maryland 21740. (301) 791-3083 To: Callas Contractors, Ino. I hereby request the .--ontractor to install the lateral in accordance with the followLig conditions: i 5 L Lv i r A ress_ C , c; � rned Vµ Property Owner Date Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 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. Inspectg2'-- Date [9 / Z.