HomeMy WebLinkAboutLat_14006MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM
U'4
PERMIT NO.
DATE 9/'14/ 4
(n SUBDISTRICT No. 15
Do `' 14-.( vit e/@rchard
Permission is hereby given to: d V 1 L e2 1\ BeW(V r `U VZ S
For Property Located at: Route #6, Box 236A, Hagerstown, Maryland 2174U
Owned by: OSVid L2e Keeaer Address: Route #6, 3ox 236A; Hagerstown, MU 21740
Type of Connection: To Service Connection X
Type of Service: Residential
Commercial
Meter Size
1 ) Units
To Main Line:
Other
Industrial
Connection Fee 3620.00 Date Paid 9/14/84
To connect to a public sewerage/v=er 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.
Building Permit No.
Secretary-TreasuPer
V �
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:� , �� CIJiiLB�J Date
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: Permit
Plumbing Boa
Field Offi
Date
Wt,5HINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATE:=:,' L
CONSTRUCTION RECOR
Project: Maucansville Orchard Hills S015-1-5 _
ILIW& /y) au S'v,Y/p �o
Street (or location) : Q 3`
Contractor: Callas Contractors, Inc. Q KoQ,,�,
MH_ 340 70 MH 370
Date Installed 12,. 2-1 • 8-3_ - Wye Ste, On Main 1+
WYE SIZE— TYPE DEPTH TYPE. EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
pec *Horz.= Tota
3
Soo. z` P.► C, 4•. z. c r F Std.
TS1ope. Horz=Total
NOTES: Drop !g. S cF 3.40 `r /S. cb�F /9.3
LF
/S
3rr %a
�• S ew 00
MAz.a
ZL a
Depth of Cleanout 4.Z. �F EF3.cul Line
Cleanout /c '-c From �, sE,J .•iaz..! ����'
Laved 4 -or, `i'� 4F r �eoF
YEs Basement Service C. 0.
MH '''5 F`.4v MHS 3v9
Amounts
Q� pertainin to work completed this period reviewed and approved.
B Y ?Vtj
- (� L� WCSO Inapec-Itor Con rectors Rep.
Lid
T/O
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
rLIoo& MQ" a.T v,'1l,e 2P. Contract No. SD1 5-1 S
Property Address.. Rt. 4J6, Box 236A Main Street
MH 369 to MH 370
Dwg. #601-060
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.
2 I X 13"
618.0
SD15-370
R /W
F-
1
(RT 6
BOX
236A)
I I
DMH SD15-369
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: M4 e,/ 4 r _—.---
Owner (Print )
Owner s Signature
Attest:_
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
e7 !e 6OX 2 -W,%1) giA)RA eY N✓t.
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
P14 AjS CA// FO,{
,LATE.eA/\\To QE
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
t
I
Address rN-4- Co G A
,U, gned_
Property Owner
tDate- I - /o - V2
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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:
c
4
Requested by Callas Contractors, Inc
Approved by W.C.S.D. Insp or:�A
Date ` 3
i