HomeMy WebLinkAboutLat_18131MaugansAvenueWASHINGTON COUNTY SANI-TARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGESYSTEM
Permission is hereby given to: 1 nternat i ort united AU o `Wor
PERMIT NO. 39
DATE
SUBDISTRICT No. 15
Yiaugansvillc. Orchard
Hills
For Property Located at: Aiaugans Avenue
Owned by: Into,r-nat i nna l 11ni teAddress: Rt. #r5, BOX 2396, Hagerstown, Maryland
Auto Worker
Type of Connection: To Service Connection A To Main Line:
Type of Service: Residential
Commercial
Meter Size
Units Other
Industrial
Connection Fee $798.50 Date Paid�-
To connect to a public seweragelXMW 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: �p�c�„ Wq�� �g,J Date -J d
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1
Plumbing Board 4
Field Off
Date
'WASHINGTON COUNTY SANITA^ DISTRICTV � w SANITARY SEWER LATES,._
WASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project:_ Maugansville/Orchard Hills
D15-1-5
/8/3/
Street
(or location) Mqu2,q.v.'1 AVE cc -Ix -507-13)
Contractor: Calfs Contractors Inc.
Date Installed 0- y- 83
MH 3_3Z TO MH 333
WYE, Ste. On Main --L t 8 &LR (%
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE.
LITERAL
EXCA-V .
LENGTH
LAY NG
LENGTH
3� F
�" Pvc
*Horz.= Total.
Pye
3
Std'
SDk 3 5
50 z c�
Z o. 70
ope+ Hyo -total
Dro
NOTES:
Depth of Cleanout 6-Z& ' `Fl ci i Line ., ..� ��...
Cleanout /S. 7 ' From
Layed L
UA/K,V6LVAJ Basement Service
MH;' 332
v�
Amounts pertaining to work completed this
BY ZF• . A _
CSU Inspector
M H;- 3 3 3
peri , reviewed and approved.
Contractors Rep.'��'
OPW
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##1
f g i3 I � � Contract No. SD15-1 S
Property Address: Rt. #6, Box -i3-} 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.
I
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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: � _ ZZ_gZ Pr -4c Lr; _ Z I � Fi n - TrCA.
Ow er (Print)
Ow r 's Signature
Attest:
Was Co. San tary District
(Form WCSC-1)
Replaces Form WCSC-56