HomeMy WebLinkAboutLat_14206MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER 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 _
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.
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
Final Inspection Made BY: -� �A; L a , �� Date Zti `F
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: Permittee Plumbing Board
Field Offic
3H1%GTO N CCUINTY SANITAR'fjldllm�.SfIR' ICT SANITAIRY SE'WICR LATE_,-.,_
UASHINGTON COUNTY, MD. CONSTRUCTION ZECC �U
Project: M unnnsville/Orchard Hills SD15-1-5
Street (or location):_,_�6iS___uoaTTMTMv_v.AeArJ5�r_ _GgX, 2-3 8
Contractor: Caller Contractors, Inc,
MH TQ
Date Installer'._ 1 - 1 7- - ja4- - - -- - l! F Sta, On Main o+ (,.z 2 �
WYE SIZE- i TYPE DEf� T H � TYPEj �XCY 11. L1TY
SidE TYPE PITC C.O. C.Q. LUFRAL iii LENr, T1.? t- CNrTi!
g'•" b"K $" f ` p� *Herz.= To'.:a
Vic- s.s4-�t�d,
S 9 Q 3V 50 i2 L (o i
No 04wI46F_ T. CO.1G"C's"t ..)4�a.
Drop
NOTE'S:
-- dope + Horz=Tota
L F
Depth of Cleanout S. 54. rc r;'FIc u, Line
Cleanout IL.7 `"� Tram t scLiEe --iAt.!
L a y e d 3• oo j A r-rE oc. 1E' I e v
.A)0 Basement Service
MH,, 384
vZ
Co.J uc c.rE
Wow
NH ; 385
Amounts �pertaining o Work completed this peri o reviewed and approved
E3 Y V
WCSu In2pectoor C Rep .._...�
Cont r.
rccors ,� cC .
WW 4196 or ae
8401ftPAM
%w IZrgbt.
Property Address:
MH 384A to MH 385
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
615 N. Main Street
J
Dwg. #601-061 —�
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.
8
v
all SA / I
\8/IUi
A LD
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: 1is9uC,h,4iVA1V
Owner (Print)
Q Ocaner s Signature
Attes
o.ASanitary D;_strict
Wa
(Form WCSC-1)
Replaces Form WCSC-56
/oZ FT e:--C—r,0
WASHINGTON COUNTY SANITARY DISTRICT
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:
Address__ 6,/S
Signed
Property Owner
Date // - i / - 83
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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.
Approved by W.C.S.D. Inspec r
Date
:��.-!-ii'-GTON CCU,", -,7Y S'1NITARY�SIf!CT � S;'.1�ITA;;'( SE'E? Lr.1C ;:
UASHINGTON COUNTY, MD. CONS TRUCTIOr! RECC �C-
Project: Mauannsyille Orcfyrd Hills SO15-1-5
Mau o,"sv,'AP Road
Street (or loca ion) : g�,u-r La -r- =oR DA g$3ae i. S�,�N�w kJ - H,4/A./�T.
Contractor: Calles Contrt.ctorsa Inc.
�A
Date Installer -e ,e A3 ,�_
L� - �Z►" ")MH 384- _TO MH 3 37 �
W e Sta. On Main ia-
WYE SIZE-- j TYPE DEP T H T YPE EXCAV. LAY1i,'L'
Si7C TYPE PIPE C.Q. C.Q. L^.TERsaL LENGTH
e'xG"x!r �� ar�R2r C �s�e2� �_aov.�. *Herz. Tcta1.
�L. St' d .
NOTES:
M4 /A/
Drop
ope + Horz=
Depth of Clea out Line,l�M��
Cleanout 2z• From4-^4,4/P
Layed
o.5-SI$LE' Basoment Service 2 �rvF3 Gam
M H : ,ge.4-
i",H 36 7
Amour -its per ping to work completed tris period, reviewed and approved.
Re y
tJC50 Ins ec for Contractors Rep.
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