HomeMy WebLinkAboutLat_18117ShawleyDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given
For Property Located at:
Owned by: _
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-308313084
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 SF 3cifications.
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 Q Lr r
Final Inspection Made BY: _ Q�l�t-Chti� Date _ % gT_
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: Permitt
Plumbing Bo
Field Offi
INGTON COU"<TY SANIT - DISTRICT
WASHINGTON COUNTY, MD.
Project: MaueensvilleOrchard Hills S01S-1-3
,ANITARY SE,WCR LA AT E: "=
CONSTRUCTION RECCi-�
1,9113 $Nctw I Dride.
Street (or location): MA 1Zr//V /ZO6/D Com/ # S33 da�E5�5 /36(G
Contractor: Calfs Contractors, Inc,
r,H 120 �TO ISH /Z/ --'Z
Date Installed �AccGUWye: Ste, On (liain�to3,���
WYE SIZE-- TYPE DEPTH TYPE. j EXCAU. LAYIi,!U
Si E TYPE. P1pr- C,O, C.O. LATERAL # LENGTH LENGT FI
NOTE
S" rte. UL.
612AW 7Z/
bE(AwL,e
i Drop i -)Q
.ope + Horz=Iota_
12-75 t /v. 3v
Z3.(:)5- /
5 r4KE
Depth of Cleanout 6.//' 11�= F Ic)w Line
Cleanout 2/,OS' From �, cq,41AjUNE GZA(//TL/ 6C-u&7e
L a y e d 0-__4r/ ,.._rf
_°
Basement Service
6TA. Of 6 Er.
MH," /LO
t'1H#' /Z/
o C.O.
Amounts pertaining to work completed this period, eviewed and approved.
luLJv 1(1 3r7� vOr =C.ont :z ctors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S _
Property Address: d I'Z(l1 13 1lawle�j Drive (GAI #533)
MH 120 to MH 121 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.
F(2
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: Q�`� f 5� /98Z .17 �� O .��A cR_ 21__
Owner (Print)
Owne� ignature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
AINk
WOW -
WASHINGTON COUNTY SANITARY DISTRICT
A�/A%, 33 West Washington Street. Hagerstown, Maryland 21740 n (301) 791.3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
t � '
L. -Address_ 6SA Am_4LA -AP-611,
fined
-Property Owner
Date a 1
1,,'asrington Co,,mty Sanitary District
`3 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.
A -proved by W.C.S.D. Irspect6r
7 i.