HomeMy WebLinkAboutLat_13822MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
PERMIT NO.
DATE
SUBDISTRICT
For Property Located at:
IN. �"mss st
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential ( ) Units
Commercial
Meter Size Connection Fee
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
Q SPS,
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: _ \ C� ,C7v�Z Date is�-
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:
DISTRIBUTION: Permitt
Plumbing
Field Offi
Date
�,Siil'�GT'U^J COU%T Y SANITAR �S (i\I T
UASHINGTON COUNTY, MD.
S;':i►ITARY SEC;Er Lt' 'TE._
CONSTRUCT IOr, iZ`CO LJ
project •
Maucc:c:sville/Urchr:rd
Hills
SD1 5-1-5
Street (or
location):
I I�l �M/�trJ_';T
/39.? --2
Contractor: Callas Contractors, Inc. F_
2,,(#Z —TO f.H 3432,/
Date Instailcr_1Z �}/�+N$�I r I:lyt: Sta. On ;-rain Z♦%8 LFX—,.,
L!YE 5IzE– i TYPE DEPTH � T Y P L j � EXCI'll V, L/a17rl 7
5-1 E I TYPE Pi! EI C.O. C.O. L^, TERRAL ffi LENGTH _ LEPIGT11
PVL V_?V L —I.3G vC S t' d
Slope -r Hort=Total
NOTES: Drop
Z8.3� to. 15 J-4, 1(0.8= Z733
14
--T
O 1r, wsQ %iii
yy° logo
PV( -
of I X53
Depth of Cleanout 1.31e VF F to � Line
Cleanout 7– From <_ A�
Zayed C �o 0 AFTMV_
1d YMgvj!j Basomant Service
PIK'
Z.+tB MH'= 34�
Amounts pertaining to work completed this peri reviewed and approved.
%BY_01AA,_ V
I,JCSU in3pec for C;ontr-.ctor:
i r .
Property Address:
Main Street
AMW
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#1 5
Contract No. SD15-1S
Mh 36L to MH 363 Dwg. #601-032
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.
Prof-; M FvyF-
o� SO4 i
nQ►vE w� y
r
101
- - ILJ
R /W
. 0
T R/W
8.. SAN.
2
LJ
I �
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: /�- /7- 6 2-
Owner (Pr/int
a / er s Signature
Attest : C •
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
,na
r
WASHINGTON
S
Auk.
COUNTY SANITARY DISTRICT
• ,1
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_
Signed
.Pro erty Owner
Date
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, Inc.
Approved by W.C.S.D. Ins ector
Date --La