HomeMy WebLinkAboutLat_13606MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at: 'Ndow�
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential ( ) Units
Commercial
Meter Size _ _ Connection Fee
SUBDISTRICT
__ To Main Line:
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
%(002_
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: �1 \' V3 _ — 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: _ Date
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
AGR III Art CIEv
.•. cgsT-RN
Property Address:
MH 103 to MH 104
r P/w
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Rt. #6, Box 325, Maugansville Road
Dwg. #601-029
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.
o ❑
1" / �L _
I (R'
4I (RT 6
f,; I BOX 325)
1 �
12 X
g
R
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. A0
AA R f/ N
P U� Owner (Print)
Owner's Signature
Attest: fY�,q f, S
ash. Co. Sanitary/District
(Form WCSC-1)
Replaces Form WCSC-56
a.r
WASHINGTON
t _
Z.>e�Q/ �o /•2 '
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:
Address QA-
pc �5
Signed_
Property Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 2170
Re: Matgansville/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:
/f
Requested by Callas Contr•ac-Cors, Inc._��
Approved by W.C.S.D. Inspector
Date / 0 -�
kobr2s C. NI yCr11V
'W'A'SHINGTON COUNTY SANlT,0►Y 'STRICT 'I `� ER ,T
�"� fJ Sfi.t:�TARY SE1�,.,, L;,IE-,,,
UASHINGTON COUNTY, MD. 1' CONSTRUCTION RCCCi DI
Project: Maucansvillel0rcherd Hills S015 -1-S I
Dor,3
Street (or location): MI3eCeuGAu0CoS12
CAP no Q4 z --,r
C, 4r 193
Contractor: Callcs Contractors Inc.
Date Installed 623/83
-W*t= 5IZE-- j TYPE DEPTF
SlzE TYPE PIPE C.O. C.O,
50,0-2G 6" Pv(
TL a -6D2 - ZG PYr: 7. p(o'
8% G' 16"
N 0 T E S :
to's
zz'
'nw
i � i6•S' --r-
4.5° eamn
66ewee
Depth of Cleanout 706'_ 06l-, 2.w Line
Cleanout 2Z' From ov mA)u urs
L a y e d n 7.5 AFS pRop
Basoment Service
i ,' fo3
14-71.5
M
N
MH 103 —TO MH 104
L1ye Sta, On [lain I+V., Q7-
1 YNi
EXCAV,
L11yIf"JC
LATE R,^,L
L E N 0 T H
LENCTII
St /
X
*Herz. /Total
}r5iope+ Horz=Tota_
Drop Z5 L.F.
1l).5 4- ►5 = Z7.6 LF.
MH 104
T c.o
Amounts pertaining to work completed this period, review d and approved,
'9 L
BY [Demml-5 W. _Cu6tre -
�__�u�
UCS[.)! lnllpc;cfor