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HomeMy WebLinkAboutLat_18123ShawleyDriveWASHINGTON 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 seweragelwater 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: �1�..-LGf�W,_ _ 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: DISTRIBUTION: Permittee Plumbing Bo Field Office Date WASHINGTON COUNTY SANITARY DISTRICT 33 W. WA' HINGTON STREET HAGERSTOWN, MARYLAND 21740 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: For Property Located at: Owned by: Address: Type of Connection: To Service Connection Type of Service: Residential ( ) Commercial _ Meter Size Connection Fee Units (301) 791-308313084 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 Final Inspection Made BY: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Plumbing Inspector Date 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 Board Field Office —DVANE 2. �b '.;ASHINGTON COUNTY SANIVO' - DISTRICT SANITARY SEUEP LiA E.'.#,' _ UASHINGTON COUNTY, MD. CONSTRUCTION RECCF%2 Project: maucansville/Orchard Niels 5015-1-5 I q (')L 3 Sh 0.uJ 12y Dry Je Street (or location): - CLQ 1 0- 532: Contractor: Cailes Contractors Inc. .�. MH /ZO TO MH Date Installer4uc aUSf" Z<o� -/983 bl e Sta, On Main WYE SIZE— ! TYPE DEPTH TYPE EXCAU. LAYIflC: SIZE TYPE Pit'E C .0 . C .0. LATERAL LENGTH LE' T fl *Harz.= Tot p F 5C�Q - � ���. 9841 �t�d. NnT>-st 8` ?uc. GfZ4U1 i 4 Drop - lope + Horz= l ota. '!K 5-0' t 45: 60' 2/. /O ' Depth of Cleanout q.8%' I"Icul Line Cleanout /2./0' From E- M,4iNLINE C-eA(llrq 5&uje� Layed @ 2.00_.__ Basement Service MH:''' 20 SrA. 2.f2 -8.s, M,H;;" /Z / O C'. 0. Amounts pertaining to work completed this period, reviewed and approved. t:5,�' _ns� for Cant_ :ccorc Rep, Ea 0 �IC LL Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15-1S Property Address: 141'1-3 c, -"cL -jey 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. 0 3 MH SD15-1 -1 8" SAN. 532 (258B) t 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: Z U - CAne- /T' p r (print) - O � Signature Attest :.�X ,J�11�2 _ Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 //A,us 0 -' // �O.e WASHINGTON COUNTY SANITARY DISTRICT ii ►► 33 West ngton Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the foil -M. -Ing conditions: VAddress_ -\,Signed ,�� r,p 9L . 9r�►i Property Owne Date /'q 8 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 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 Con Approved by W.C.S.D. In Date //0/8