HomeMy WebLinkAboutLat_17933AlpineDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
( ) Units
()rI CR'm A -C
To Main Line:
Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
To connect to a public sewerage/water 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.
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: "_--,.�- _ Date
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing B
Field — Offic
'''ASHINGTON COUNTY SANITARYISTRICT
UASHINGTON COUNTY, MO.
Project: Maugansville/Orcherd Hills
SD15-1—
SANITARY SEWER L„TE�fi:
CONSTRUCTION RECORD
Street or location -a 3Z MI a- r.w H_ u E ^�'c e �i
{ ) - � bra Fl.r
Contractor Calfs Contractors Inc.
MH__1Lz�TO MH Lc
Date Installed 'D c. I, 1,783 Wye Ste, On Plain
WYE
S-IZE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCA11.
LENGTH
LAYING
LENGTH
$ x 6 ,c g
6 " Pvc�
PV c
�,0C
�Horz,= To
•
V F
Std.
Sbk 7-C'
':WS ope + Horz=Total
Drop
31. yo L.�
11. t6 ,- z
NOTES:
•I
1
31 !6 Lr
7.32,
Depth of Cleanout re. a G,' C,Flc w Line_
Cleanout Z. 6. From t o j pe?A , N j_ 1 N
Layed
1. In Basement Service
MHZ; 3 1
Amounts pertaining to work completed this
WSU Inspec;.or
MHS 316
per d, reviewed and approved.
Lonrraccors t(ep.
C11 y
wArE R
~ Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 232 Mountain View Avenue 17933 Al pioe Driy't
MH 315 to MH 316 Dwg. #601-042
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.
R/w
8.. SAN
(MAC.) -14
DM SD 15- 316
2 C / L
(2) /
294
232) 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: 1Z l /31,97- _z,* ;r& B. � ORTIN d
Owner (Print)
. Signature
Attest:
W0wher's
as . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Was 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:
N
• • -
Sign -d /,� ��/ice,
`' • • -
D_ - zo
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills S
. Contract No. SD15-1-S
Gentlemen:
We hereby request permission to install the house later
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the follow
location:
Requested by Callas Contractor
Approved by W.C.S.D. Inspec
Date Q
nc.