HomeMy WebLinkAboutLat_17816AlpineDrive�WI)ASHINGTON COUNTY SANITARY DISTRICT
3 VjftMNGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is herebv aiven to: Barbara oti
For Property Located at:
PERMIT NO. 403
DATE XXXXXX
9-8
SUBDISTRICT 6. 15
Llaugdosville/0rhhard
u; 11:
Owned by: Ijart)ara Ott, Address
Type of Connection: To Service Connection
Type of,Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee 4;69()
00 ._ Date Paid_
To connect to a public sewerage/waW 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.
1
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 Insp r
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordan:7ith 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:
DISTRIBUTION: Permittee ' Plumbing Board 4
Field Office 1
Date
'v""'kSHINGTON+ COUi",TY SANI*Ak" Orr DISTRICT -'SANvi
UASHINGTON COUNTY, MD. \-'
_ ITRRY SEWER LMTc-T�
CONSTRUCTION RECD o
Project:_ Maugansville Orchord Hills S015_1_5
Street (or location):bo Es o AVS G 1-1 yl
f Ipine briii
Contractor: Ca11ps Contractors Inc. J
�N Z U(p TO MH Zo 7
Date Installed S - Z3- g3 WYE Sta, On Main oio 8 i
WY- SIZE- ! TYPE.
SIZE TYPE PIPE C,O,
Pvc
SoQ 3>" sae z.(o
NOTES:
DEPTH J - i'YPi. j EXCAt1.
C.O. LATER; Li LENGTH
x.06 it'd.
g w ATE2 Mgpq
y' Pzom SLA04ce
Dr
cCEA-Jou T
� C LEARANC E
LAY INIG
_ LENCT,,
*Harz.= Total.
33 . S •
ape + Horz=Tota:
Depth of Cleanout lv. o(, rF lo�lw Line
Cleanout 3o.5 From-----
Layed Q 3 �'
• yo easement Service
0
MH, 2o to
MH1_ Zo7
Amount, pertaining to work completed this Period, reviewed and approved.
✓ t:CSD Inspcc.•zor Contractors Rep,
r
ITN • ���
OUT O'RoNt Dr';E•
I&W L iNA'7�f1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15-1S
Property Address :es
o e j`7?Si(0 /Dine
�riv'R
MH 206 to MH 207
Dwg.
#601-059
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.
00
0
0
0
0
J
366
(400)
►I
II 3 w
MH SD�206 I I g" SAN
(" 0
Riw
w— — - r t
I
cn 10 rk
0 -
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 ow -per'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: /� v /-�� i fg 07 -7 -
Owner
7 -%Owner (Print)
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
79i
WASHINGTON
-LL-A
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:
Address_,�
Signed
' roperty Owner
✓ Date -1�--�
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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.. Jc.
Approved by W.C.S.D. Inspec r
Date