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HomeMy WebLinkAboutLat_17808AlpineDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE74}S MER SYSTEM Permission is hereby given to: _John R. Wen' For Property Located at: 408 W Owned by: John R. Wentz PERMIT NO. _7,99 DATE SUBDISTRICT i10 15 Maugansvil a Orchard Hills Preston Avenue, Maugansville, Maryland 21767 Address: 408 W. Preston Avenue, Maugans,vi 1 le, Md - X Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee To Main Line: 1 Units Other Industrial $620.00 Date Paid 12/ 1 3[84 To connect to a public seweragellf=r 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. jllG t 1 / V U Secretary-Treasu er j C� 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 Plumbin Spector TT_ 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: Date DISTRIBUTION: Permittee Plumbing Board Field Office i .'kSHINGTON COU^.TY SAINPA041- DISTRICT UASHINGTON COUNTY, MO. Project:_ Maunansville/Orchard Hills SD15-1-5 I/ SANITARY SEL -,'ER LA T U'. CONSTRUCTIOPJ ZECCi;L Street (or location): y0 P12C-S 7-o,J14vC 3Co Contractor: Capps Contractors, Inc, Date Installer'• 5--)3-83 l MH_Zoi TO M,H z.Qk� Wye Sta . Ori Blaind J-zS. y L WYE SIZE SIZE- TYPE PIPE TYPE. C .0. DEPTH C.0. TYPE LATERAL EXCAU. � LENGTH LAYI,;C, NCTI-11 I- g X X �" '0V C- *Hort.= Total Z 7� St'd, SnQ 3 5 Sn2 zc� #Slope+ Horz=Tota. NOTES: Drop 3 �o ' y,Z' f _ 34/ 0 �yy ° 0— A TE & —r4TE& MR M 8 ­MA'**J B.421E0 !r CP980 C C e 4M ow T Adv"& 3' pee/a. Depth of Cleanout Z • 74P ^Flow Line Cleanout Z9• From /tel R . �*_ wt LayF:d C Zf a icy Pa.op A/o Basement Service MH';" Zo S '` Z G Amounts pertaining to work completed this period, reviowed and approved. BY -- -� - .._._.. CSS: inspector Con cwor titp, 1 l r- - r, A � w 0. r.✓Amok 5d Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 Contract No. SD15-1S Property 2 West--Pres"tan Avenue P Y Address: 1lY-0$ tq Ione Dri'4V- MH 205 to MH 206 Dwg. 401-058 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. :(40 4 ( ) 8) (4 ) zV /i R W POW //8, W SD15-205 50' R/w 8" SAN. _ 4" FORCE MAIN 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. ZZ- 8Z Owner (Print) W _ Owner 'Y Signature Attest: , Wash o. Sanitar District (Form WCSC-1) Replaces Form WCSC-56 .tr ,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: ji ✓ Address_ SignedQ.t,� 'PropertyA Owner Date d �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. In pe or Date q jj/)