HomeMy WebLinkAboutLat_13804MaugansvilleRoadSHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX -571
PERMIT TO CONNECT TO PUBLIC SEWERAGEAY6M SYSTEM
Permission is hereby given to: IRober t E • Ho 1 s i nc'-:
For Property Located at: 16 S Main Street 317Q�' _
Owned by: rf n i c 7 n n, r Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO. 44n
DATE ✓ r
SUBDISTRICTNO- 15
Mauganavilla Orchar
Hills
P.O. 9,,)/- 301. Hauga;nsvi 1 le 1D 2176
To Main Line:
Units Other
Industrial
Connection Fee ¢ n %' U U U Date Paid
To connect to a public sewerage'' r 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.
6 0 jJ
�.
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
Plumbing In 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 Lf
Field Office
Date
Washington County Sanitary Distr
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1woq Maa-uga*1svi'Ae Contract No. SD15-1S
Property Address: ROBERT HOLSI NGER .
MH 319 to MH 362 Dwg. #601-031
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.
E
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: '^
Own (Print)
Owner s igna ure
Attest: ;•
as Co. Sanitiary District
tio-
(Form WCSC-1)
Replaces Form WCSC-56
'.'ASHINGTON COUNTY SANITARY ,STRICT
UASHINGTON COUNTY, MD.
ANNSANITARY SEWER LATE�7-A;
CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills SD15-1-S
3F"o b Mau a.nsvi//.Q TCP.
{
Street (or location): MAIN Sr
eaCT - V LD - fO,07 / — ..
Contractor: Callas Contractors, Inc.___
ISH TO MH__.._
Date Installed AyQc.15f 1G, Lgb3 Wye Ste. On Main�f��L
W1L .'JILL— 1 iYG 1..1Cf"111 11r1e a—1.1a.-•1.
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
(01, -PV1C. 'Harz.= Tot
d.
86�va sr ->p- vo
NOTES:
S" p. UL.
*51ope + Horz=1 otai
Drop 32.00 l0 58 2-130':
(9.30
IZ " W -M -
z.�o'
Z5rua
Depth of Cleanout 7.48 rE1 c Line
Cleanout 2-5.88 ' rom q-_. A441N G?AVJ7-L/ 56wez
Layed @ 3.9
Basement Service
SIH' 319
0.0.
, rTA . I +-08
Amounts pertaining to work completedthis p
BY
WCSU In3pec.•tor
ad, reviewed and approve
:� v
Contractors Rep.