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HomeMy WebLinkAboutLat_13841MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 DATE SUBDISTRICT 0 ) PERMIT TO CONNECT TO PUBLIC SEWERAGE/11j EJ3 SYSTEM 1'1'a¢zgansv Ile j O.ock,11 ;u M. l=earnew Mills w Permission is hereby given to: y ' Jt/"'r' For Property Located at: 136 IV Main Street, W augansy i l Le . Maryland Owned by: Ula Ni. Fearnow Address: "' D Box 216, Ma gancvi l l e. MD 21767 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size To Main Line: ( ) Units Other Industrial Connection Fee / Date Paid To connect to a public sewerage/ 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 Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: f:; -J", W Date ti 2 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permitt Plumbing Board 4 Field Offi Date :��."'!%GTON COU;�iY SAP41TARY0 S��R1CT UASHINGTON COUNTY, MD. project: Mauannsville/Orchard Hills Street (or location) : C�,QI''t S015-1-5 AON SANITARY SEWC'D LATE- CONSTRCUCTION RECC„p 138 M cl u O"M w /l�aC Contractor: Calfs Contractors, Inc, N H 3 4 ,_„_Y 0 M H 31&5 Date Installed� AAg4 L.1IF, 5ta, On ;gain f46o.5 c-?r.V UYd SIZE-- J TYPE: 5-1 7E 1 TYPE PifEj C.D. 8"x(o"x 8 j fo "zOFi 26 WG.16"-FoR 26 1 3 P•V,G. NOTE 5 : DEPT H T YPf- E 3 X C A V LAY1",,L -C .0. L^Tf:Ft;aL�i� LENCT'+ L IL7 NC T l S. Oro v.i=. � St3d. *Hcrz.= Total ?S' c011c.3�oewe�x. Mir 1 I I � f Iku ►3' Drop IIIb10pa+ Horz-Tota 10.634 17.0- 17.63L.F: Depth of Cleanout S .ZGV. F IF'lo,, Line Cleanout 13' Fromm MAi" Layed 0 2 prvov •mac �, Basoment Service i4W . S fam MR, 3�- ("H;-' 3[Iff' '--� -"_ • fa.. ttiSe.'{tii rtifi C} ►t(QIZ C.O. •- Z'�'ru6 eb caw Amounts :p:ej 'in' o Work completed tris period, reviewed and approved. BY �— t�'C3b In tor --cont---actors Rep. dr 400- 60 C/o Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: 138 Main Street 137'/1 MOU a ans v; lie 17W11 MH 364 to MH 365 Dwg. 11601-032 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. AZ 2UP rl ►0 C.B. _MH SD15-364 121 1 811 SAN. T4 CMP 2 I (I ) 268 x (138 a Iry ) 1 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/z3/8Z Attest: Own (Print) Owner's Signature &t -A -Q- Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 ..r WASHINGTON a6e (/3e) lip In Sj; "-)s Cat // f'©i Lce-fem COUNTY SANITARY DISTRICT T �3 Fr 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 �- rop rty 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. Q Approved by W.C.S.D. Inspector Date 8- 2-3 - 8,3