HomeMy WebLinkAboutLat_18128MaugansAvenueHINGTON COUNTY SANITARY DISTRICT
PERMIT NO. L:
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741-0571 (301) 791-3083/3084
P.O. Box 571 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEAyffj�p SYSTEM
Permission is herebv niven toy') a `' ' B . F - H r•�
SUBDISTRICT
v_�11a/Orchard
Ta_11S
For Property Located at: ails Ay . ne I V'2V
Owned by: Address: _� #6,• Box 299 Hagerstown, Nu Z ;
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public seweragelylloftr 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.
Building Permit No.
Secretary -Treasurer
/ P �
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 I ector
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 4
Field Office -1
Date
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
j$ Ilii Contract No. SD15-1S
Property Address: 449"Maugans Avenue
MH 332 to MH 333 Dwg. #601-051 -
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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I�
510
0) I (40 8) �a
0
8° SAN.
o IIC-w L OC ATIoN
B/ZG/83
0 t En ey Peop Owwu
MQVED 13t cAusF
wj4TE2 S rQv e
i Tv 4N4 0-J /f AC L
1 l F. H.
1
DMH SD15-333
OF
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: 10 4 Z .A ► .n1 T,
C.(S6�—
Owner ( rint ----
Owner's
—_Owner s ignature
Attest:
Wash. Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
iia C&or) _440a�pvs ,nvc
r
�/�vtis exll Lc.e
Aw WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 751-3083
//
To: Callas Contractors, Inc.
- I hereby request the contractor to install the lateral in
accordance with the fol l.owi ,, ocr.a j +; cry:
S /Ce"
Address_ ,(
'Signed
operty Owner
Date 7 a f -ate 3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansvi le/Orchard Hills Sewers
Co�tract o. SD15-1-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) perce:it and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Callas Contractors\,
Approved by W.C.S.D. Inspect r__1�
Date (9)' 2- /,9 3
WASHINGTON COUNTY SANITAOW DISTRICT
UASHINGTON COUNTY, MD.
Project: Maugansville/Orchard Hills 5015--1
Street 1gI2
(or locations -fig Mqu9p,V5
Contractor: Callas Contractors. Inc.
Date Installer'_ /o - G- 83
- .rtt_L- -- I ii'L U L P I H TYPE
S7LE TYPE PIPE C.O. C.O. LATERAL
8x�xg'
GPV C- pvc �•�� St3 .
SDQ 35 SDQ 2(o
NOTES. I Drop
/2 wpT6n.
Mg Im
/9• Al' r -0
g MAIN t3�Nos
Depth of Cleanout (0-91 - SFlow Line
Cleanout 30.6o From � A4,9,, Ai
Layed @ Z o 4; TEv- 4RoP
A%o Basement Service n
O+9%
.ter
ISH," 33 Z
W
0
0
SANITARY SEWER LA T E,.z7"
CONSTRUCTION RECORD
5710
�33'r- _TO MH
e Sta. On Main o♦96 L-✓
EXCAV. LA1rN'-
LENGTHLE:f`1( _
Horz.-tal --
x').Lope+ Horz=Total
y.
8:5 2.(00'4- Ll. 75 oaop f Z6.3o
- 33.5
C'EANo�cT
/ I C CEq�AA/r-E
MHL 333
Amounts pertaining to work completed this period reviewed and approved.
BY �.J-t
WCSUor0 C
ontractors Rep.