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HomeMy WebLinkAboutLat_14128MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 2 P.O. BOX 571 1^,T PERMIT TO CONNECT TO PUBLIC SEWERAGEit SUBDISTRICT j`�Tp, 5 SYSTEM v� 1 (T� ugae.nsville/®reha�rd Permission is hereby given to: I Vafl l ehlili3n L �1C�11.8 Rt. #6, BOX 203, Hagerstown, mar land 2*ii4U For Property Located at: g Y Owned by: Address: P?t • #6 , a0 203`, Hagerstown, Mp 2174(} Type of Connection: To Service Connection To Main Line: Type of Service: Residential ( )' Units Other Commercial Industrial Meter Size Connection Fee Date Paid To connect to a public seweragerA=r 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 -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 Final Inspection Made BY:Gam' Date /,24 Plumbing I ector 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: Date DISTRIBUTION: Permittee 1 Plumbing Board Field Office 1 '':JA3` INGTON COUN Y SANITARY40ftKSTRICT UASHINGTON COUNTY, MD. CONSTRUCTION Z`CCi;C Project: Mauoansyillc/'Orchord Hills SD15-1-5 Jq/2.,3 Mausa,-7sv(11-e 2ca.d Street (or location):_ 2r t, SoK zo3 6aZ 133 Contractor: Callas Contractors, Inc. MH 3s3 TO f",H 3&4 Date Installed 1 - 31- 84 Wye Sta. Oct Main •r o ��T WYE SIZL TYPE DEPTH � J"YPf_ j EXCAV. LAYIi,'U ii LC �.;� 5-1 7E TYpt Pif E C.D, s. C.O. LAT_ERA� � LENGTH r.;}{ w� *Herz.= Total. P✓e" 7 2.3 'JC St'd. SO2 35 So a' Z4'1 1 2'7. 4S tic 2_ 4. 6S LF NOTES: e.c. 2 Drop op -3+ Horz= Depth of Cleanout T 3 �c -Flow Line Cleanout zz- 4s 1-0 from + s2..,e-1- VI4^=.A Layed oo� • �,�q Basement Service c.o. sTA. 14o9.4s - 1-1 MH,j' 383 FLOW NH 384 Amounts pertaining to work completed this period, reviewed and approved. By LJCSU in3pector Contractors Rep. � GJ PA -A ` 2 D(ii3l�3 Washington County Sanitary District j/ ) �o� SEWER SERVICE LOCATION Subdistrict No. SD#15 Igt,B M0.LAgGLv_vsvjI (e Q0c Contract No. SD15-1S Property Address: Rt. #6, Box 203, Main Street 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. m Cy 4 - ©233 2 _ (RT.(RT. 6 t B 06) BOX 203) 1 - -� - iz'w� DMH 5D15-384 H SD15-383 8 S } — T.B.M.22 T 1 -- —Y iLl", I 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. j Date: /%'I A (It�_ ne (P 'nt) er s Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56