HomeMy WebLinkAboutLat_18107ShawleyDriveWASHINGTON 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
To Main Line:
Units 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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee._
Final Inspection Made BY: L[�x� a . ra-�.� Date Coll
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: Permi
Fiel
Plumbing Boa
Office
('rtklPs S ����KE2
t.'A'31HINGTON COUNTY SANITOW- DISTRICT 'd4c SANITARY SEWER LA E.^rL
UASHINGTON COUNTY, MD. CONSTRUCTION RECCii-<C-
„r
Project: MaucansvilleLOrchord Hills S015 -1-S
1710-1 Sh0...� ley Dri Je
Street (or location)':. (,'Al t' QDI?E!E�SS 2S.8 - MARTtN POAD
Contractor: Cali., -s Contractors, Inc.
/ MH 119 YO MH 12-0
Date Installed_ Ca 30 83 1.1yt Sta. On Main /f /Z. 2T”
TC ---C.
WYE
SITE
SIZE- I
TYPE PIPEJ
TYPE
C.O.
DEPTH
C.O.
TYPE j
LATERAL i
EXCAV.
LENGTH
LAY1i`,"C
LENCTI
*Harz.= Tota
PtI.C. L/_ Cl. S.Zt'
St'd.
SVZ - 7-G i
*S ope + Horz=Tota.
Drop
NOTES:
No UNDEP-620UND UTILITIES
Depth of Cleanout 5•ZI (ED F low Li.ne
Cleanout f7 ' -From MAIN CINE
Layed Q
1. Al K_NOIAItq Basement Service
SYA.. I +- 12 Z`i
MH' -i 119
MH7#' IZ0
b U0.
Amounts pertaining to Work completed this period, reviewed and approved.
t rlac t olr k ep .
.� c1siF2N
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
275-8-
Property Address: iA _t siz iCCrLi�TgIOZ _Tor��!
MH 119 to MH 120 Dwg. #601-054
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
/W
z
MH SD15-119
,1� n Q n
0
V
T.B.M. 28
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: D,-+ 5- CHQ JZ t 15S N E E Fiv ER
Owner (Print)
Own is Xignature
Attest:�e
as . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�r -%
,.. WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
Ta
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Date 47LV�
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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. Inspec 44
Date '� 3
I