HomeMy WebLinkAboutLat_14229MaugansvilleRoadWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083!3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER 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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _ C` Date -tT)
Plum ing 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: Permitte
Plumbing Boa
Field Offi
Date
''nSNINGTON COUNTY SANITARYSTRiCT / SANITARY SEWER LATE:'
UASHINGTON COUNTY, SID. CONSTRUCTION RECORL
Project: Maugansville/Orcherd Hills SD15-1–S
/y�a� /Y)a�c9a+►sv� /l,� Load
Street (or location): 2r L Sox I So GA --c Z45r
Contractor: Callas Contractors Inc.f,.
MH 3 89 TO MH 3qc>
Date Installer' 1- 9- 8 �._ Wye Sta. On Main o* 8z, qy
WYL 51 LL-- j I T F'L ULt'1 Il I I r1_ �n.n v • awn e a r.
SIZE TYPE PIPE C,O, C. LATERAL LENGTH LENGTH _
.Harz,= Total
$,%(o�,� g (o" PJe- vc 4.3 St'd,
Soe 3s So 2 Zro
S ope + Horz Tota
9 �F Go c.' PRru+ Drop IS �� L<
NOTES: 7.60 ► `�_
9. Lo
C•o.
13.3 Lc—
4 S'se j o
M4Z�
Depth of Cleanout 4-30r _C=f 1.cw Line
Cleanout 1 3.3 From k sei E,e •Aq...j
Layed C� . sy.00 j A=rV-,e.-0,e,,P
#A Basement Basement Service
MH!` 389 Fc,oIJ
E,H "' 390
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSD Inspector ontractors Rep.
5d
0^
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
Contract No. SD15-1S
Property Address: 652 Main Street 11��aQ �qua0.►r►�w'��if oaf
MH 389 to MH 390 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.
/W HV 33
- — — —
8"SAN _
P040 S 15-390
2
/ 245
(652) Q
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: F® 2t—
Owner (Print)
i
/ Owner s Sig nature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
AIM
WASHINGTON
11
Ca// Per
La feral �-b be
COUNTY SANITARY DISTRICT 9 orn
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:
,,A'ddress
Z'4ned c+ -o
Property Owner
LPa-te // / 2 - 73
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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,
Approved by1W.C.S.D. Inspec
Date \` \ -2- 1 �,q 3