HomeMy WebLinkAboutLat_18212ShawleyDrive,SHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
(301) 791-3083/3084
PERMIT NO. /107
DATE Jan. 23. J 96
SUBDISTRICT 110• 15
Maugansvi11e Orehard
Hills
Owned by: Roper -2 -astern Address: P-0- 'Box 2065. lagerstoim, Maryland 21742
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
) Units Other
Industrial
Connection Fee 5620.00 ____ Date Paid 1 j 23/85
To connect to a public sewerage/AWi 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.
Building Permit No. __
Secretary -Treasurer
ou" J3
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: 11 of oe Date v�
Plu ng 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:
Final Inspection Made By:
DISTRIBUTION: Permitt
Plumbing Board
Field Offi
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
,EAsr�.�.v r�'.eedv�f3
..'r.SHINGTON COU?%iY SANITP'*'.' DISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWED
CONSTRUCTION RECGi;C
Project: Maugansv.ille/Orcherd Hills S015-1-5
Street (or location) : AJQ✓7V /Zpa,,-1 641iet- 530 B AGCY✓rsS Rnt/ 2n/ c- _
Contractor: Callas Contractors, Inc,
.ce aj -�' br; v e
_--Y1&J.r O M H
Date Installed -4 Q auSf _Z�198,� Wye Sta, On Bain p�00_C,
WYE 51ZE- i TYPE DEPTH TYPE � EXCAV. LAY1iNIG
SIZE TYPE P1PEJ—C.0._ C.O. •LATERAL LENGTH LENCT1
?UC. *Harz.- Total
5�- zG ;�vc. i� ��' St'd, 15.75"' l</. 75,
ope + Hor
NOTES:
Depth of Cleanout 14 (o4C-D F 1.oul L i n
Cleanout7�From..`.---
Layed 0 BUD '
J
Basoment Service.
MH"' 17-3
0-0.
5T -A. 0 +-00L
MH:!- !aq
Amounts pertaining to work completed this period, reviewed and approved.
ontrr.ccors kep.
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:
y L 4/V Z,'7,
---SPrint)
Owner' Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form 14CSC-56
MORAL
146TALL CA
MSX• 11v6prM 141616% r% Washington County
Sanitary District
LAIWAL 111ro 01 H IZ4 @ goo SEWER SERVICE LOCATION
Subdistrict No.
SD#15
Contract No.
SD15-1S
Property Address: Eastern Products Box 2065 Mftrr - D
^a ShaLole brew
mH 12.3 -rc MU4 I -Z-4 � � o� (a 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.
'530 13
E50 -A. :Z 05)
o
x
Q
v
J
W
�
H
�
h
/
\
O
R/W (D
MH SD15- 12 2 8 SAN. DMH SD15-123 8" SAN.0- 2c0`MPP°,k
- ♦
R/W p
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:
y L 4/V Z,'7,
---SPrint)
Owner' Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form 14CSC-56