HomeMy WebLinkAboutLat_14129MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
PERMIT NO.
(301) 791-3083/3084 DATE -4_-V1-84
SUBDISTRICT No. _15
(J _._,_1e/Orchard
Permission is hereby given to: .aQZ°`1`B1 J. Keener
For
� -_-
For Property Located at: '17n 1>31D7--rb MaA in Vit, 1waugar gy ; _ 7&7
Owned by: Adrial `eener Address: P�f 6 Thi flx 173 Ma�,erstown Pnd 21740
Type of Connection: To Service Connection :1 To Main Line:
Type of Service: Residential X ( I ) Units Other
Commercial
Industrial
Meter Size _ Connection Fee,,k,- 00 __. Date Paid �-10— 4
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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
L `cs U K"�- : e c l 7 tp`
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
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date `2/ _1L3C—
Plumbin pector—��-----
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:
Final Inspection Made By:
DISTRIBUTION: Permittee
Plumbing Bo
Field Offic
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
WASHINGTON COUNTY SANITARYP DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER, LATERA;
CONSTRUCTION RECORD
Project: Maugansville Orchard Hills S015-1-5
Igl29 Mau C M1 -5V ffe Load
Street (or location): 5io ,�. AL.J s. , JAZ 24-9
Contractor: Callas Contractors Inc.
MH 383 TO MH 384
Date Installed i - i - g4 Wye Sta. On Main + 4►. 1 R. ✓
WYE SIZE— TYPE --DEPTH TYPE EXCAU. LAYING
S-IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
8 ••rb •.x 8.. ` .. r'✓e. *Horz.= Total
502 3s soe z(* ?i C- 8.581" St'd. 1.7.,5 L.Jr 1s. So LF
NOTES:
Drop
Lc c.�.
ope+ Horz=
Depth of Cleanout e.s9 vi: ' flou Line
Cleanout 13, s- Lf from sEw�e wqr., ��•" -w~
Layed @ G.ZS
6414 Basement Service
MH;- :363
Co�1GQ¢.e£, '3Loe�e
MH# 384
Amours atai to w k completed this period, reviewed and approved.
WCSD Inspector Lxontractors Rep.
C. w
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 570 Main Street M2.01 Mauaa "Ut, RACLd !_
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.
i
.7' nMH SD15-3
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SAN
SAN
T.8 . M. 2 2
p 0
0 249 1
( 570)
� SIJ
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: -7 A J R t Ft -
S KFC Eii _
Owner (Print)
wner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56