HomeMy WebLinkAboutLat_14011MaugansvilleRoadASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. __
. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT Rp• 15i.�13�a`tT3�; �;":�11e�Orel1>ard
Permission is hereby given to: Max GieSner Iiill>�
For Property Located at: 4301 N. Main Street 14011
Owned by: MdX Giesner Address: P it Rnx 44, Nat�gansvi I Ie, Mr) c17 i
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
( ) Units Other
Industrial
Meter Size _ Connection Fee $ UL U . U U Date Paid
To connect to a public seweragelv"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 V „^ - 10
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
Plumbin nspector
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:
Final Inspection Made By:
DISTRIBUTION: Perm
Plumbing Board
Field Offic
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
�,;Hi'tiGT'ON COU? TY SANITIAR^I'z3'iIRLCT
UASHINGTON COUNTY, MD.
Project: f'aunnnsville/Orchrrd Hi?in
SD1 5-1-5
Street (or location)/¢o/l %Y ct140c lsv� lte Road "-
: 43o PJ. ��r,J.,Jper. , c-rpcc 2-s-8
Contractor: Calks Contrartors, Inc,
Date Installed� Wyr Sta, On Main z+oma 2✓
CONSTRUCTION RECGi;�,
L"YC
S7 -'t
So e -3:5
NOTES:
.11 LL' - ' I 1 f Yc
TYPE PIPE C,O,
(, O j C.
l�JG
5o e- 2 6
C.O. 11 L^TE:RAL
S• (o l V. F 1 St I d.
M^ t.a
EXCIIV.
LENGTH
F.
9,00 r..
LAYii':
*Herz,= Teta
Slope+ H0rz= i o;,al
�C
9.6e J -F + S.so =
Or
Depth of Cleanout S.(.i V•,:• `Flow Line
Cleanout i5 Lv rem SC jEx- -4,Rxa
Layed c ,. is � aFre'aDe..
i Basement Service
MH,: I 369
11, H ,- 380
I C.O.
Amour, s pertainin9 to work completed tr`:is period, reviewed and approved.
By �Wa
LJCSL) inspector Iontractors hep
/r___... I i- 1
AMA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SDJ15
Contract No. SD15-1S
Property Address: 430 Main Street lgc2lj %YMaU6n,Zy1,// IZoQ
314 369 to MH 380 Dwg 4601-033
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.
I \ HV 32 _r
R/W
HN Vt' .
C.M.PA
-R/W -
H SD15-3F
- -
oil
n R/�1
I
I 2 258 I 2 I II
(430) � ( � 25
I �
(45
o �}
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 . 9I2z Z�?
Owner (Print)
n pD caner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
11
`�?Sg ( 43p) Main S z
3P AN Iden s Call Ave
\ 40Jenol Leo ,Ij�
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:
10
�.Address
�S,grted
Propdrty Owner
Date
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, I C.
Approved by W./C.S.D%. Insp or
Date /1o/,31/ eq