HomeMy WebLinkAboutLat_14125MaugansvilleRoadf WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
UBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/QPCM SYSTEM 1&ugknsT11 a re rd
Hills
Permission is hereby given to: Paul Berry Keener" 14125 5
For Property Located at: 560 N. Main Street, ► �iL!gansvil e, i4aryland 2;767
Ownedby:)'Aul Berry Keener Address: P.O. Box 2J4, Maugansyille, Maryipnd 217
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
1 ) Units
To Main Line:
Other
Industrial
Connection Fee $620. DiJ Date Paid i 'Ill 1 84
To connect to a public sewerage/vimsystem (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.
rl
Secretary -Treasure
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 C ''
Final Inspection Made BY: `,�6Date
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 Bo
Field Office
4
1
Date
12ASHINGTON COUNTY SANITARY" STRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATEPI
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills 5015-1-S'
1 q 11 G r)1 ca.ug a..-ysv, //.e leocLcg ---- -- - --
Street (or location): S(go w). MgiJ tet_. Cc►z �_��,
Contractor: Callas Contractors Inc.J --:
MH 30,s TO MHS 4'
Date Installed I - 19 - 84- Wye Sta. On Main o to.s
WYE SIZE- TYPE DEPTH TYPE EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
$ "x (,"x g" e" PJC-� �Horz.= Tota
TJ ¢,oZ �G St'd.
502 3S 502 Z G
NOTES:
t I DropLIX
l4• So
'r'�Lope + Horz=total
9,00 _ LF
Depth of Cleanout 4.oz �r !Df lni., _amine
Cleanout io. Ls `-F From A se,.,EC -4gza-
Layed 4,oy Acr,E,c -Dcco7
�)I4 Basement Service
MH'- 383
MH# 3e,4
Amount pertaining to work completed this period, reviewed and approved.
BY ��� � 2.1 „z � �w ....-
WCSU Inspector Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 560 Main Street 141 5 Ma,Qansy1,11-e aa,�
Ij
MH 383 to MH 384 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.
Z H V 34
i
SD 15-
M
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: / - - q3 V Rep-rjy /�I!z e -v rf-
Owner (Print)
AQ0_.=
Cr's Signature
Attest:
J1S� k
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
'O%+ ala n s Ca
�t
'erg,
/
Leo be
(WASHINGTON COUNTY SANITARY DISTRICT7 ii
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:
Cdr e s s_ S o
4..Zrfgned C �� 1,3 . /<-e"�
Property Owner
0,D8cfe 7 -
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, Inc.�L�
Approved by W.C.S.D. Inspector
Date /- /19-8,y