HomeMy WebLinkAboutLat_13908MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: Un
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:
Units 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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee A
/
Final Inspection Made BY: __/A Date
Plumbing spector
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
::�,SH1'�GION Ct1lli:iY J.",t;I7iif�GlS IRi� T SANITARY SEWE? LATE=:,:
UASHINGTON COUNTY, MD. CONSTRUCTION I�C_Cl.t;Li
Project: Mpuor.rsvillc Orchard Hills S015--1-5
Street (or location): CA? /39011 McItiga-0st"We'j2o, 2!B 22 IV J``T d�-fir' /'
Contractor: Cr.11e s Contrar.tors, -Inc.
MHS`S TO MH s"
Date Installed
30cJAN •� � LJ; ti; Sta , On 111 a i n 0f83.2L-r
LlYE SIZE- I TYPE DEVH TYPL I EXCAV. LAY 1P;i'
SIZE TYPE PIPE C.O. C .O._ LATERAL ] LENGTH t_INC T H
F *Hcrz.= To'"I
►� X�8;;� St I d .
r4 n T,. s -
2
t�Cie4nOu-�-
Drop
I
4f,
ter.
Depth of out -'•WV.f. rn=�Flcw Line
Clean -'_23. 2 from -�L 4,ai.t!
L .y � 4�TER �20P
Pr�ssig Bascment Service 2'vTul f£ cAP
7
Amounts port nil t work completed this
BY C---
C5u ns� for
I-Irbl.ope+ Horz= ► otai
29 �. io.73+-17.60= 28.33L•
H�
I" r'',
period, reviewed and approved.
Contractors Rep.
,01k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1S
Property Address: 221 Main Street 1370F
MH 365 to MH 366 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.
O
0r
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:
Owner (Print
�J
Owner' Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
7" S car For
,6e-
WASHINGTON 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:
6'
Address,l,/�.
Signed
Property Owner
Date %-r VO2 -- R3
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.���_ 1f".Glisic�_
Approved by W.C.S.D. In
Date --) I z9/A3