HomeMy WebLinkAboutLat_17813AlpineDriveVV r.i h
33 W. WASHINGT(
P.O. BOX 571
GTON COUNTY SANITARY DISTRICT
STREET HAGERSTOWN, MARYLAND 21741-0571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVy(ATf-MLSYSTEM
Permission is hereby given to: Donald R. iZUbeck , Jr.
For Property Located at: 405 West Presto)
Ownedby: Donald R Rubeck. j Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
(301) 791-308313084
PERMIT NO. 485
DATE Feb. 25, 194'5
SUBDISTRICT :O • 15 -
Mauga. -hard Hills
I e I 1 1►"'
l�
'P.O. Pox 48bi _ Jl 2176
To Main Line:
1) Units
Other
Industrial
Cion Fee $020.00 Date Paid
2 -2i -Sb
4
To connect to a public sewe�agelwater"system (with proper abandonment of previous private system). The installation
of the connection and th.�iabandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryl�ndand 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer A yr
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
i
Final Inspection Made BY: Date
X�ZPIumbin spector
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 t Office l ,C i.ty of Hag. 1
IWASHING T ON COU?; T Y SANIT^ DISTRICT
UASHINGTON COUNTY, MO. .
Project:_ Maugansville/Orcherd Hills
y, riA�d e. CA,6 ee_t Jam- ✓
Aak- SANITARY SEWER LATUi-
CONSTRUCTION RECORD
qni
1`7813 A I rye Dr��►t --
Street (or location) :, y0 S PQtSTotu AVE i &AT 3�0 8 �
Contractor: Calles Contractors, Inc.
ISH Zo5 TO MH e 0 G
Date Installed 83 Wye Sta . On Main -2-L35- z
WYE SIZE— I TYPE DEPTiI TYPL ] EXCAV. LAYING
SIZE TYPE PIPE' C.Q. C.O. LATERAL # LENGTH LENGTH
$X *Harz.= Total
Co Vc pyo S. O � St'd. ZS'v ,
SDR 3 S S UQ Z( e3- �
NOTES:
Depth of Cleanout S. o , C, -Flow Line
Cleanout ZJ ' From t MA.,Aj - �'-
Layed C
A/o Basement Service
� 3s-
MH: ZoS
MLIL Z6G
Amounts pertaining to work completed this perio , reviewed and approved.
BY
ICS: in���cct r
Contractors Rep. —'
AWA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
nC 7T t- Uro 1-rtr A•-�ni7e
Property Address: 1103 %Maine bri VQ _
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.
POW 8„ W - —
MH SD15-205 50' R/W 8" SAN. ' MH SD15—'c
T— — 4" FORCE MAIN I ( I I
. I
I 3
368 7
(4 (4 05 ) (XI)
0
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 e installed by the District at or ne the property
line.
Date:
Owne Print)
rC I-
lOwner's SignatUre
Attest:
Wash. Co. Sanitary'District
(Form WCSC-1)
Replaces Form WCSC-56
.... Ad%A
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:
Y
v" Address_
0001,
'Propert-y--ow-n- er
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland x21740
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 Con -
Approved by W.C.S.D. In;
Date