HomeMy WebLinkAboutLat_13916MaugansvilleRoad..SHINGTON COUNTY SANITARY DISTRICT PERMIT NO. �1�1
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33 W. WASWINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084-
P.O. B05(571 DATE .l
PERMIT TO CONNECT TO PUBLIC SEWERAGE(WATER SYSTEM
Permission is hereby given to: Fl a i"o l d Jfj gma n
SUBDISTRICT10. l5
_.Llei Orchard
kiI 18
For Property Located at: e j i North Main Streett'44
Owned by: Jar'Otri ,Jgmdn Address: 23North Main Stree�, `ylau ansvi11 , ti
Type of Connection: To Service Connection _ To Main Line:
Type of Service: Residential _ (� ) Units Other
Commercial _ Industrial
Meter Size
Connection Fee
J�a0.00
Date Paid
To connect to a public seweragelwater 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: _ _ __ Date
Plumb 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: Permit
Plumbing Board
Field Offi
Date
�'�SHINGTON COUNTY SANITARYe"STRICT
UASHINGTON COUNTY, ISD.
Project:
MauaansvillelOrchard Hills
r3q/& /ti
Street (or location): 2.33 N.
o.,svi ve Road
�N STr,QEEV7"
SANITARY SERER LATE;<L
CONSTRUCTION RECORD
Contractor: Calles_Contractors, Inc.
I'?H 3(6(o TO MH yo A!
Date Installed_ / Z - / — 8 3 Wye Sts, On Main o f 7y L.
WYE
�SiZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING:
LENGTH
g1l(X8•.
4,PV�
PvC
.
St'
'
�'Hcrz.- T
->oe 35
SOA Z(.
S 16pe+Hort To 1
Drop
NOTES:
g.,MAJAJ
C L E A.t/o u T
Depth of Cleanout 'y 8(' �DFlc w Line
Cleanout 22 •o' From MA "V
Layed 0 L—j. q fTE,_ oa,p
No Basement Service
Of71Y L
MH," '3(,,(,
3(,,c,
MH#, fro y
Amounts pertaining to work completed this period, reviewed and approved.
BY �
UCSD Ins ector Contractors Rep.
. Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1S
Property Address: 233 Main Street l39/U
>>/gUG7QnS�,l�O %eoa
MH 366 to MH 9_041-032
Place an 'X' in the sketch fieloto indicate where the property
owner wants the service cor4nect'on (lateral) tonter the
property. Place a wooden t e the ground at that location.
- - 4j
219 M a o
(223)
El
.I i
0 1 I 2
221
I ,? (233 ) ( 3
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: /D-'ZO^�7i�� /p yip A/'
Owner (Print)
Owner s Signature
Attes G
Wash o. Sanitary District
(Form WCSC-1
Replaces Form 14CSC-56
ow
AMA �i'Q r � C'G // FOR
`e"`�r>� lea
WASHINGTON COUNTY SANITARY DISTRICT /6
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:
� A 22t -f.4,4 / S Q Al IYIJ e A Sia/r' D A: /71-, L,s� O/C/r- l%rl%vA/ Rile,
L A L5642( -!5Z4 -.* Ifs f ba- S /CODT 07 r tA/ ;�;- AOLI'r
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11' �t4�= �,�/ Z.� �l�PAr�✓ (Of -4 S c j e.A1) e, C - SCC e S S di rP
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Address -2 33 Al. /y.4iysT &7,o�O�,Signed
1ii�
Prope ty Owner
Date 477- %D. /9 9.3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SDi7-i-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 Contractor
Approved by W.C.S.D. Inspe
Date
Inc