HomeMy WebLinkAboutLat_18213MaugansAvenueVASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
(301) 791-3083/3084 DATE
SUBDISTRICT
Permission is hereby given to: 19215
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 _ r'/ /1 , /.V 6
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: Date '/z'A?�
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:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITA^ DISTRICT
WASHINGTON COUNTY, PSD.
SANITARY SEWER LATE,=L
CONSTRUCTION RECORD
Project:_ MaugansvilleZOrchard Hills 5015-1-5
Street (or location) : .¢cLez (/eov caeovEYMOr
Contractor: Callas Contractors,__Inc.
Date Installed 0 Z - 83
MH 33(a TO MH 33
Wye Ste. On Main --Z t 3 R ✓
WYE
SIZE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPL
LATERAL
EXCAV.
LENGTH
LAY INIG
LENGTH
$X�O K $
%•• PvC*Herz.=
Total
QVC
%.(o(o
Stud.
i�I•g3
5 I 35
SPP- Z(o
/7-73
S ope + He - otal
Dro
NOTES:
Depth of Cleanout 7• !Q(' C,-�Flcw Line
Cleanout /5.3' From
Layed @ Z �
UNKWow J Basement Service
MH'33C.
Amounts pertaining to Work completed this
17- W SD Irisa ecftor
', 1rf-^1 �
Zt93
w
M H # :363 7
peri, reviewed and approved.
Con
tractors Rep.
Pk Awk
PRQJ�CT NAME: W AUG A n1 V I L LE S E W E R PROJECT NO: NonJE NEEDED
PROPFRTY ADDRESS: 11 2-13 M A u6 A NS 0,1 E DRAWING NO:
= MAIN I-OCATION. STREET/EASEMENT DATE INSTALLED: ?
z PROPFRTY OWNER NAME: Lb i LL -ER + A NO EQ,SQjV,, I N C MH 3 3 TO MIi
4 PROPERTY OWNER ADDRESS: MAIN STATION:
o SINGLE: DOUBLE:
v CONTRACTOR: CONNECTION ® MH:
7
SIZE & TYPE
TEE/WYE
SIZE & TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION' 'C' (IF APPLICABLE).
SHOYV LATERAL LOCATION. STATION. UTILITY CROSS114CS AND DIMENSION ALL PERTINENT ITEMS
FLOW Aka- CO NrW -7$' LEFT Cd -,P POLE �, EXS1STiNG CO Ile �
At" co NFA= q6-5 .1 ctP POLE Az,� NEW Co = 7 G'
q,5
co
DOWNSTREAM RIGIIT PQp
MH #-33-7 12'/s
ExSiST lh1G
co
UPSTREAM
MH #
HST QUANTITIES FOR PAY ITEMS HERE: tLEL) EXSI STq) G L A T E R n L i N S rA LLt O
L3Y GITY� CONTRACT60 ►_NSTALLF_0 CLEAN 011-rWHENIPEC,00VECT
SEE RLU E PRt 1J7 COPY Ste- Z ATTACH Eb
By: SHANE FREWcH --MiKF mARK67A Totjyl IQ. i -o mr R
YtWASHIPJGTON COUNTY INSPECTOR CONTPACTOR'S REPRESENTATIVE
CO. NAME:
pIYISIpT-SdN ONCOW)CKS
MAR)lWGRAVITY SEWER SERVICE
WATER AND SEWER CONNECTION SHEET
;a
pEPARTMENT
MARCH 1996_ :S:— 13 2
jMETER At
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C>jbPPED FOR 1" 1 "1 �
FVTURE USE. i�\r\�1 yCC1v6i� 1$� x
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