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HomeMy WebLinkAboutLat_17817AlpineDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 267 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE P.O. BOX 571 3 PERMIT TO CONNECT TO PUBLIC SEWERAGEIW:�-T�*sYSTEM i1 ' Hills and Permission is hereby given to: A! i - e( D. nose 1 ` VA For Property Located at: 401 West Preston gille n u e Owned by: Alfred S 1-IOSe Address: 409 WPct. PrQSt.nn A Vic nijP, i'1AIIgA,nSV11�..-, +il Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size To Main Line: ( ) Units Other Industrial Connection Fee $62-U•11u _ Date Paid To connect to a public sewerage/%1system (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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Secretary -Treasurer p 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 c ) Final Inspection Made BY: y v' �'�1Cl-�.ti tl �.�' Date 10-9-9,4 Plumbing 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permittee 1 Plumbing Board `{ Field Office 1 Date :lASHINGTONJ COUNTY SANITOW DISTRICT UASHINGTON COUNTY, MD. SANITARY SEWER LATc ? CONSTRUCTION REC(F�C Project: Mauc?znsville/Orchard Hills . S015 -1-S Street (or location) : '�/o/ .--/ORFs-ro'. A /6- (&A2 3(o 7 �17'9rt AI Pine D►�e. Contractor: Callas Contractors, Inc. Date Installed y- /7- 83 MH Z6 (c TO MH Zo 7 Wye Sta, On Main 04-yz J WYE SITE SIZE- TYPE PIPE I TYPE C.O. DEPTH C.O. TYPE LATERAL � EXCAV. LENGTH LAYIING _LE LEMCTII �X 6 x 8.. ., Pvc. Pvc 3.63 Std. #Hort.= Total 5V)E 35 SDR Zcc 510pe + Horz=Tota. NOTES: Drop ,ZS• I , 5.1 + 18 = Z3. 1 C LEA M Ou T r Depth of Cleanout 3 Cc Cflc+.,, Line Cleanout /c).5 from M,q,,y �`"�•"'- Layed @ 7- Sam, AYL-4 aeop No Basement Service " f�H,2olp H s' Z I ;; c>7 Amounts pertaining to Work completed this period, reviewed and approved. F3 y �L,r.Sb �ln3p,_,C nor i ontr c L. V f%ep r A01" C.vv. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1 S Property Address: �0-„` st )-Igtl Name l rtoe MH 20, co MH 207 Dwg. �J601-058 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. I 8 W - R/W g" SAN. f MH SD15-206 Pn ORCE MAIN I ( 01 13 M (4 ) FW l 367 (4 01) 3 Z�c�S'r of 0 L�AS7' Col�Nr2 W of FaoNr n�a� 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: ;,I liC,,c D Q l-� eS_e- _.._ Owner (Print) Owner's Signature Attest: Ce. Was Co. Sanitarj istrict (Form WCSC-1) Replaces Form WCSC-56 ` *-A" 19 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: lI 014�-e1 Address_',zd / W z.5 i 0"rP,�fTo�✓ /3� Signed (-O-u '0 /v, 'Property Owner Date ..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.0 S.D. Insp�r Date 7)1 / o