HomeMy WebLinkAboutLat_14010MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO,
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: 140%0
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
SUBDISTRICT
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: 79 -3146
Permit Fee
Final Inspection Made BY: _ Date
Plumbing Inspect
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: Permitt
Plumbing Boa
Field __ Offi
Date
WASHINGTON COUNTY SANITAK DISTRICT SANITARY SEWER LATERAL
WASHINGTON COUNTY, M0. CONSTRUCTION RECORD
CCNT104T 5045-1-5
Project: MAL46ki5V1LLg—QRCHARD PILL5 Sn^,1�TAF2Y�_Eih1ER PR0JyZ w
1401C MQc Cosy Ile koacl
Street dor location): ,4- ,2_Z �.Q3:5 A-1. HAW ;=�T �_ ,k
Contractor: U:b ;_ �UAITRACTOR2
MH TO MH 380 ✓
Date Installed 1,0 ,'C.B. C-4� Wye Ste. On Main 2f44dLT 6s
WYE SIZE- YPC— DEPTH TYPE- EX AU. LAYIR
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH
LENGTH
e'X�'K6 D"'�'ORZ6PVG. "5 226 V.F *'Horx.A Total
StId.
NOTES:
"'510pe t Hort"To'
��. 0 L 3.0+24.5:28.04.. F
Depth of Cleanout�.66.v.T. ®Flow Line
Clasnout From & Aro^/
Zayed � � aFTcR peon
.;=a=L.L „_Basoment Service Z'--Mte a; CAX>
MH#369 MH# 3r,^,
Amount0 pe rU.:g to Work completed this period, reviewed and approved.
6
WCSO Inspector ontractora Rep.
A"\
Y Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 435 Main Street t'1010 Rvad
MH 369 to MH 380 Dwg. #601-033
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.
I00 `E 1) P0V228�
b GES
Q C3� 435)
'PROPOS
} , ' C.M.P.A.11
HV 32 X RAW
12 W 30 RIW MH SD15 -38C
8 SAN _
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:
Own (Print)
Z- /b e
Owner's Signature
nnQA
Attest: � .)C
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
sl
"r. 3 �°(" 3�0 '►' %�/�+r�s cage �or-
he
000, WASHINGTON, COUNTY SANITARY DISTRICT is FT
W
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:
Q/Z6
A I Address
JS.ign ed
Property Owner
Date
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:
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspec
Date /0 // 1X3