HomeMy WebLinkAboutLat_18007MaugansAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: _�VW
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
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: l i, .i 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: Permitt
Plumbing Board
Field Offi
Date
"i1> m Glob
'UJASHINGTON COUNTY SANITARY ,,STRICT
WASHINGTON COUNTY, MD.
Project: Maugansville Orcherd Hills SO15-1-5
Street (or location):
SANITARY SEWER LATERAi
CONSTRUCTION RECORD
1 F60-7 Mcaug ct nS )qrW.
Contractor: Callas Contractors Inc.
MH 32.z TO MH 3--3
Date Installer' ALLqu5f 1-5,12B3 r Wye Sta. On Main_Qj-z�Z,_9
WYE SIZE-- TYPE DEPTH TYPE EXCAV. LAYING
S'1ZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
�'Horz,- Tot
i.VC. pvC �.7G, Stud,
3" x G" x 8" !SDZ- z.G
NOTES:
PVL.
GZW 17-9
SE-Wr,- .
Drop 1
tope+ Horz=i otal
2.63' + 2-7oo =
Depth of Cleanout x.76' e,Flow Line_
Cleanout Z7.1A3' From (L MLIINC.INE G2&1117 -/
Layed @ 1.3
nln Basement Service
Sra. 0+- 42.q 9-r.
MK 3ZZ
S1; u1E 2 Pr r--�E
M H;,' 323
U C.O.
Amounts pertaining to work completed this pe :cd, reviewed and a r �.vq,
WCSU Inspector Contractors Rep.'
ZrAKe
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
/?00-7 M0 a+1 s G?v/.
Contract No. SD15-1S
Property Address:M.u, ansvi�le Community Center % Bob Holsinger
MH 322 to MH 323 Dwg. ##601-050
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.
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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: /1/8/e 3 AAVG-A N 5 y i-11� J�yIzi+A�AJ
Owner �(Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56