HomeMy WebLinkAboutLat_14124MaugansvilleRoadWASHINGTON
COUNTY
SANITARY
DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAG EIWATER SYSTEM
Permission is hereby given to:
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
PERMIT NO
DATE
SUBDISTRICT
Hills
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 RESPOW
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: 791-3146
Permit Fee
%
sa-
Final Inspection Made BY: n �� � .►-...� _ — 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
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permi
Plumbing Boa
Field ___ Office
'.,'ASHINGTON COUNTY SANITARY STRI%T
WASHINGTON COUNTY, MD.
O's SANITARY SEWER LATER„?
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-S --
,� lgl2y mcali90_"51/, ll2 toad
Street (or location):lS4'1 N. 0wA=.3 Sr Kr 8oY zoo 6^3: Z37, --
Contractor: Callas Contractors Inc.
L4T. 0%AT vF MH 383 TO MH N.�.N1A -
A: 90o Wye Ste, On Main o + c� 1/
Date Installer' 1 - �Q - s4 —
41YE
SIZE-
TYPE
DEPTH
TYPE
EXCAV.
LAYING:
Si%E
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH--
�Horz.= Total
o -AT oC
(e " PIM'�.lCr
(e •'7 (enc
St'd.
27.-10 LF
Z7. .2o L -F
H14 383
Sot zc.
Horz= 1
Drop
F777"
75ope
NOTES.
C-0.
ZS.2o�G
�..._-- 13. 1-'
2`O true
Depth of Cleanout le.-1le F1.cu, L'.ne
Cleanout ZS. Zo LF From wt N
L a ye d C�.�.; ......._.
NI4 Basement Service
��j�i..tA*EG wn4=J
4.0 VC o?.
19��
7a
k
M M
1 383
90-/-1
Sm. o+oo
U
MH; ` 38Z MHit 383
Amounts pertaining to work completed this period, reviewed and approved.
BY
UCSD Inspector ontrctors Rep.
�.�V).
�0 Washington County Sanitary District
'w0 SEWER SERVICE LOCATION
Subdistrict No. SD#1 5
Contract No. SD1 5-1 S
14114 Mctuy-n5v- Il R ROPA
Property Address: Rt. #6, Box 206, 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.
o
o >
-
( 2
C>RT. 2 (RT.
- (BOX 206) BO 03)
f HV34 F.H.
$V��- _ -71 - --- -12 W
ol
u SQ
M1-8HfIs D 1 -363 8 S N
T.B.M.22
�on �
_ I1
1�251
2� ► -__250 --_- -- ---1 �- 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.
p ,
Date: /�7� 3 l S T !\
T Owner (Print
, , S- Zr, �-
Owners Signature
!"' Attest: �JK
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
3 8a 3g3 'P3 ,Qt, 6. l3oud0�
Za tor-" i t o 6e
WASHINGTON_ COUNTY SANITARY DISTRICT 8�
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-30
83
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address � �!rr► %% A- R' p��-O�
Signed2-2
Property Owner
Date /
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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,
Approved by W.0}S.D
Date