HomeMy WebLinkAboutLat_14209MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT NO,
DATE
SUBDISTRICT-
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
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: l(lU2"' W ,�CLA4 A%,, I 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:
DISTRIBUTION: Permittee
Plumbing Board
Field Offi
Date
'_'",,%GTON COUNTY SNITARYSRICT Si,.NITA Y SEjER L'TEL.?,-
UASHINGTON COUNTY, ISD. CONSTRUCTION RECUDD
Project: Maunnnsvillc/Orchr:rd Hills S01S-1-3
• W209 nictu,y a.nsvi*lle /eocu/
Street (or location): to ZZ Ni. T. 63 5:�2£.E.:r (p/at z.48
Contractor: Ca llr s Contractors Inc.
MH 384- TO MH 381
Date Instance I- z- 84 4: e— Sta. On Main I+ e.r
WYE Si1E.-- i I-YPE DEPTH TYPE E.XCAV. L A Y I
5_1?E a TYP': P1P-EC,D. C.O.- Ll"JERAL LENGTH l_c:T- -
$ 4. IL " �' PJC. -DJC. 4.12- rr- St'd.
50 a 35 I
So¢. Lb
NOTE S :
So...i. 'DA.A'*"e re
IDV 4.=.i c a .. s :-r.. J a
F
Sec. jga
/-4A I J
sroJE Uq„` i
Drop
COL L4T,
STou¢
yJ
Au"
Depth of Cleanout 4.-1L v� `�'1ow Line
Cleanout 12. Z " From s C..JOCA w•►Z.J
Layed n "7.c"_ �.1 A 7 -*.e- D2.00
.]g Basement Service
G.O.
lr'Slcps+ Horz=total
4-5
:w. +as.a
MH:r 394 F..o�► i H;'" -3e'?
Srry JQ
AmountP pertaining to work completed this period, reviewed and approved.
By
WCSu in3p ctioor ContrLctors Rep.
0 Iq
1d%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
Y1 Contract No. SD15-1S
Property Address: 622 Main Street cy'1.Dq (YMI t Rocca ---
MH 384 to MH 387 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
H SD 15 -387
-. -
48
I
.-1[(622) / SD�5-388
Z --
Li 7
mF s
1°8
ciID 0
s
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.
Date: v cAL
Ownei.
r (Print')
)
OIL af2,--
Owner s Signature
Attest: /'
Was Co. Sanitary District anrl�,/
(Form WCSC-1)
Replaces Form WCSC-56
�... �J AMA P/Q s Cal) )Core
Zla,eera/ liO he,
WASHINGTON COUNTY SANITARY DISTRICT/11
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:
�G7 O.Q AS SNA /OGeJ AS teJA
ZZ LcJ//Z
Address --/o Z.Z .0/1V
Signed 22��j -� � �/✓ , ,
Property Owner
Date /i - i / -8.3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
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. Insp
Date