HomeMy WebLinkAboutLat_14215MaugansvilleRoadWASHINGTON
COUNTY
SANITARY
DISTRICT PERMIT NO.
33 W. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083 1 3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM 2
Permission is hereby given to: I ^'
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
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: Date '
Plumbing In ctor
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 Offi
:.'t,;'i1;'GTGti COU;;TY SANITARY ISM -ICT
UASHINGTON COUNTY, ("D.
t..;Y
CONSTRUCTION RCCc;c
Project: Mauonn.svillc/Orchrrd Hills SD15-1-5
142/5 MQi'4-gaHsV"1te Ro0.d
Street (or location): 1.32. N. -4AX-3 srLEX- r GAS z4 -i
Contractor: Callas Contrartors Inc. ,E
MH 3 88 TO f �H jS
Date Installed I ii- 84_ _-- - - W -e Sta. Oil. l'a'in *
k
WYE
51ZE
51.ZE- 9
TYPE =HIPC
TYPE
C.O�
DEPTH J
C.O. 1
TYPE j
L^iERAL ii;
EXCI'll 11.
LENGTH
! LAYiC?i:
-- LC iC!!! ----
8 - `..x8.a
Y
6, P Jc
*Hcrz.= To' --a]
vG 5.41
St'd.
Soe 3 S
So e L 4
,+
slope tlorz=Total
5 :
Drop o�
LZ 01r�OT
ur
13.50210
C.o.
se jet
M Ar 0.3
Depth of Cleanout 5.41 vF I' -Flow Line W� M
Cleanout 6,50 `F From f5EuiCc .yazJ
L a y e d Q 4.00 Act vaoo
.�. W I JA Basement Service
MK." 388
C -.O.
i". H '- 389
Amount s pertain'�g t work completed ti.is period, reviewed and approved.
8Y� ---
UCSU n --pe for Contractors fiep.
A
51
Property Address:
632 Main Street
C, �&,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
2�5 M Gmcph-ksu x`14 e ROO.
MH 388 to MH 389 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.
MH SD 15 - 387
" SAN 8,
2
30'RiW
(6
� My Sp , , .
� � � �5�388
I / / 247
(632) �
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. -/Z7/,g-;?
/T
Owner (Print)
&2� Y- ZA�g�
Owner's Signature
Attest: 3
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
A". .<. Q/)S ca 'Cor,
Z -a1 -era/ Leo j2
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:
W,
,,Address 32 r9iivs %11eigi6it1wy)u-c R
Signed'-- �-
Property Owner
--Date
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, Xnc.
Approved by W.C.S.D. Ins
Date