HomeMy WebLinkAboutLat_14119MaugansvilleRoad1101 Nil t*1'AVf0 —77-
S
� HINGTON COUNTY SANITARY DISTRICT PERMIT NO.�
_
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE -
P.O. 80X 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Maugansvilie /Orchard
'
Permission is hereby given to: c d S B l U S h a f f e i Hulls
550 North Main Scre 1, lvidul'a
'aQSVTI'1, i�!acyIand
For Property Located at:
Owned by:
i=aS� . Shaffer" Address: 1; 15 Pal.inyra I_an' t�oVOT MID 0716
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:_
Units Other —
Industrial
! 240.vu Date Paid
Connection Fee � � � —
To connect to a public sewerage/QG4W 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-Treagur
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
930 I
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing spector
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 Ix
Field Offi
Date
6, (Al
Bed k
i� Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#1 5
Contract No. SD15-1S
Property Address: 550 Main Street ---
MH 382 to MH 383 Dwg. #601-034
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.
-,--=t¢- f =-
MHISD15-383 8" E
T
1
T.B.M
2z
5 -
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: Ur �• 93 E d til, & • 5H$WFr"- —
Owner (Print)
,C,A Alt-
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
:r_ -i i tiGTON COUNTY S1 NI TARY� STt� i CT
UASHINGTON COUNTY, MD.
Sir, idl7k;;`! SC�;C? Lr.`s'C
CONSTRUCTION: RECO ND
Project: mauannsville�OrchFrd Hills
- - / �i/l9' n'i c�u9a..-►s vr' /l e. o a.d
Street (or location):__ 55o N MAX: -J 5r"=1F_E-T
Contractor: Callas Contractor Inc.
MH__3 8 2. TO MH
Date Ins' -a' led 1 - Z3 - 8 4 _ t!; r. S t a . On Main 2 +tea
WY
SIZE- i TYPE
DEPTH
S-iZ.E
TYPE PiPE� C..0- -
C.0 -
8„ x `„X 8•,
.. PJC.
JF
PLIC.
i
SDe 3S
Sot 2.1b
TyPf- 3 EXCAV, LAYI ,
L^,TE LENGTH LE.` Ci11 _
-Hcrz.= To',:al
Stud. IS. to �-� 13.os LF
0r3 + HOrZ=
t 1 Drop
Depth of Cleanout Ilk v67 Ulcul Line
Cleanout 10. Ss From SES tee. w+Qra
L a y e d Q Z.00____j�
Al/g Basement Service
SsW Li Z4 U
MH" - -,36L
FLOUS i.H ; 383
C.o.
Amounts pertaining to work completed lu-his period, reviewed and approved.
By _ ..-.
UCSD In3pe for C tractors Ftp.