HomeMy WebLinkAboutLat_18201MaugansAvenueWASHINGTON 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: — 1
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: CLa_---_— _ Date 1Z' 10
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: ___.--- Date
DISTRIBUTION: Permi
Plumbing Bo
Field Offi
WASHINGTON
COUNTY
SANITARY
DISTRICT
PERMIT NO
33 W. WA' HINGTON STREET
HAGERSTOWN.
MARYLAND 21740
(301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER 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
( ) Units
To Main Line:
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
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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: Date
DISTRIBUTION: Permittee Plumbing Bo
Field Office
'2ASHINGTON COUNTY SANIT/�^- DISTRICT
LIASHINGTON COUNTY, MD.
Al SANITARY SE -'ER LATER L
CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills SD15-1-5 _
Street (or location):/IA'2EesTTowq usT 13AN& %3aaNcN iygY S/6.5)
Contractor: Callas Contractors, Inc.
s
M N��,S G —„Y TO MH 3 3 7 �
Date Installed 9- Z16- 83 Wye Sta. On Bain o+57.7 R
WYL
SIZE
SILL—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING:
LENGTH
gX6X8
PVC.Pv�.
*Norz.= Total
7•��
St'd,
Z5, y3
Z3. y3
502 35
SOR z�
ops+ Hor ota
D r op ----"'
NOTES:
Depth of Cleanout 7•&!c CiFlow, Line
Cleanout ZI.yS From r& A4q1N
Layed C 7
tiNK&gW,g Basement Service
0+-57-
M H'.
tSi-
MH;'' 3 b N
i
Amounts pertaining to work completed this
BY �• � _ i1j�,,��
CSCSD Inapect r
MH-"
perio , reviews and approved.
Contractors Rep. ��'�
1ATErei✓� �lo�cdE
WASHINGTON COUNTY SANITARY DISTRICT
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:
Date 0 �F—�'
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,
Approved by W.C.S.D. Inspe
Date
I
AWA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD1-1r15
Contract No. SD15-1S _
Hagerstown Trust Bank % 83 West Washingt6n Street
Property Address: Bob Stull - Maugans Avenue I'g aw (GAI #516 B)
MH 336 to MH 337 Dwg. #601-052
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.
INV. 646.4
8 Sq N. MH SD15-336 8„ SAN.
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: ���z�a'�-ra�c�� �.., '7rvw6e
Ow er r n"—i
Ow rSignature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56