HomeMy WebLinkAboutLat_14104MaugansvilleRoadWASHINGTON COUNTY SANITARY
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEDOM R SYSTEM
DISTRICT PERMIT NO.
(301) 791-3083/3084 DATE
SUBDISTRICT NO. 15
_..1e Orchard
Hills
Permission is hereby given to: Terry -,h
For Property Located at: Main St ree
Owned by: Terry L uerberich Address: Rt. 46, Rox 21761M HagPrSt Wn, �Viary anct
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620.00 Date Paid I u -C -o4
To connect to a public sewerage/%MM 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
a.Secretary-Treasurer V,
i
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: �--� �e , �-CJ Date O 7E�> — 'l
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: Permittee 1 Plumbing Board
Field Offi
Date
li-NIGTON COIN Y SANlTARYp*lS(t IC
UASHINGTON COUNTY, MD,
SAN1TARY SE!JER LATEL
CONSTRUCTION it CO \u
Project: Maugansvillc/Orchard Hills SD15-1-5
14100 ✓ cuuq ca.n5 val e o ��
Street (or location):_ 2z" (o 30x Zo(o G cVL Zia
Contractor: Callas ContractorsInc, r
-- __ ..._....._.,.-�..........._... 1 L �t
Date Installer:.- I ZS - B,4
MH 381—TO MH 3b2 -
Wile, Sta, On Main It AL&-
WYL j
S7ZE
SIZE--
iii TYPE PZPC
I TYPE
C.O.
DEPTH
C.O.
TYPE j
LATERAL]
- --
EXCY V.
LENGTH.
LAYIi,.C'
�_E,N.;�:i!i
c8
�' PJe,
-
Hcrz.= TaEa -
-?J e-
(o.Z1
Std.
SO4 35
50 e- zc,
--
�~
'`Slope+ Hort=Total
NOTES: Drop
2.85 `9+ u. (.s `F_
Depth of Cleanout 6.7-1 VF ' Flcw Line
Cleanout L3.Z5`F From + sF.,.j;Zt w►Ptx j
Layed Q 3. 0sp As= P
C. 0.
.Jid Basement Service I
381
F Lo'i
srw ►; gi.g
8sr.,aeg- .144Z j
38Z
Amounts pertaining to work Lomploted this period, reviewed and approved.
BY
WCSU lnnspector -- =� ractarsP �,
!Zka/"' Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: Rt. #6, Box 206M, Main Street I'{IDq irl c AQw1sv1lj2 Kr�.
MH 381 to MH 382 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.
PROPO SED 22'k 13"
C.M.P.A.
q
230
(FR T.6
BOX 206M
IIC 0.0
II pN
— -- 1-1
SED C,B ----- \ _ti
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: Z2 Z
Attest:
Ele A Y EA <<H
Owner(Print)
Owner's Signature
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56