HomeMy WebLinkAboutLat_17809AlpineDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAG ECyIQMERSYSTEM
Permission is hereby givf
For Property Located at:
PERMIT NO. =- 4.
DATE 11 —1 ?-34
SUBDISTRICT 140• 15
MaugansvilliTrehard
Hills
Owned by:G7r—may TQQM8 r Address: 409 `' ,, INM
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee 620.00 Date Paid "1 i -1 h—':>4
To connect to a public sewerage/ 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.
Building Permit No.
i 7
Secretary -Treasurer Vr�
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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
�s
Date �G
Plumb' 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:
Final Inspection Made By:
DISTRIBUTION: Permittee "1 Plumbing Boa
Field Office
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
' i 7�0Ne
'A5HINGTON COUNTY SANITOW- DISTRICT Ag%(SAN17 R SE,jE Lr,iL,
WASHINGTON COUNTY, MD. CONSTRUCTION RECC I,�C;
Project: Mauaansville Orchard Hills SD15-i-S
(180 apt e i��ive
Street (or location) : yo-Cl'a€ sToA( Avg GA.r
Contractor: Callas Contractors, Inc.~.
MH Z o5 �TO MH ZoG,
Date Installed S-_ lo- 83 Wye Sta. On Niain p 3/. g R
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
IKEPTH
C.O.
TYPE
LATERAL
j EXCAV.
99 LENGTH
LAYI(,1G
LE:A`GTI1
gXG X $
& • 10V
*Harz.= Total
yg(o
3
Std.
5DR 35
SPR ZZ&PVC
Z7• 0,
Slope+ Horz=To
NOTES:
Drop
Depth of Cleanout y 9(0 ^Flew Line
Cleanout ZZ 0 From � MAiM
L a y e d C2) ---J-5----15
• NO Basement Service
0431.
r4H, Zo S
N
N
M H,-' z o
Amounts pertaining to work completed this period, rev'owed and approved.
9y
''CJb inc-73c; ,or 61ont,actors Rep,
o"
Pvi
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15-1 S
! nQ
Property Address: Ue ll�yQ f�i��in��rl.J:�
MH 205 to MH 206 Dwg. #601-058
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.
0
,11
C5I 10 XW
rumuL MAIN
13.
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: / 22 /0-z' _C� 04V O D me _— -
Owner (Pri )
Owner Signature
Attest
sh. Co. Sanitarr istrict
(Form WCSC-1)
Replaces Form WCSC-56
J - ;�VIA WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
0".
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
�-' Address_ /fQfpv.
Z --'Sign
v 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, Inc.
Approved by W.C.S.D, Insp`6"6tor
Date