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HomeMy WebLinkAboutLat_13915MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: I ✓ (`� 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 Final Inspection Made BY: 00 Date Plumbin 909pector 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: Permit PIumbir-ofZoard Field_ Office Date . A -3HINGTON COUINT Y S-ANITARY^STRICT UASHINGTON COUNTY, MD, SANITARY SEWE? LATE CONSTRUCTIONS RECC'r�C- Project: Maunnnsvillc Orcherd Hills S015--1— Street (or location): Cy41 z605 230 AJ. MAJkt .077/3965 MO a ..1sVd1e R Contractor: Ce,lles Contractors, Inc. „ ,;r/ rIH �T O MH 366 ✓ Date Installed 6i,)AAJ.6d Wyee Ste, On Main 2tlU Rr.V IiYC SIZE- - ,T �.� n, , r. ,.v._ � `i'YPir DEQ i H TYPE LXCY 11, LA 1�1t'`.l: 5-17E.__ TYPE PI('C C.D. C.O. LATERAL � LENuTH LE.r.;GTH 8.�1("V.F Herz.= To{a �V.G. * 1/ � St3d. / '¢Slops + Horz=Total NOTES: Drop /3.0 L.�. 9.98-/-776.:/7.0"'e—F mAJu 1 2 "A -Z I �� CA 12L•F. Depth of Cleanout B.1(.V.F. f Icw Line Cleanout /2' From n Aipi Layed 2 ;� 4c776R 020p •Yf3C C' Baser;ent Service M H ,'-&15 /0'- -- 4C-C>. 2'- c.o. . 1 '• 2'srv3 �'�� Amounts pert i o work completed Lr -is period, reviewed and approved. BY LjCSu in-sp c;.or Contr•��.ctors Rep. 60 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: 230 Main Street J39/5 risydle 1—Foad 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. �,JL�� R/W n 12" W --__ 77-/-"-- R / W — 1 -3t J a� (233 ) I� X _ T.8W e 88 .MH SDIS--Ar,, 265 (230) HV -30 MAC.) y I R/W I IW I (2. )_ I=) zJ Ld >1 Q z 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:`j / ZT T� Owner( ring Owner's Signature Attest-.- � Wasri. Co. Sanitary District (Form WCSC-1)- Replaces Form WCSC-56 o?65 03o, fl)a/n S7. .r► 3 (� S 3 4 A%k ID/A n 5 Ca �/ t4",V,- WASHINGTON COUNTY SANITARY DISTRICT--------------------� F' 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in Date 6 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 Approved by W.C.S.D. Date -� k) S- 1