HomeMy WebLinkAboutLat_18222ShawleyDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
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: �) ' e A. ✓ ins
(301) 791-3083/3084 DATE
SUBDISTRICT iti u - J;?
;?
aUgarisvi i ar,d Hi I1,s
For Property Located at: Rr)dd
Owned by: C .i"1"te A. i3ler i rIS Address: 30X 254, Hager,suowr i
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
6 2 0. 0 U ` Date Paid
To connect to a public sewerag e/W4Wr,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: Date
Plumbin nspector
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Office
Date
y dr f�%r>�sI-c�S
WASHINGTON COU`:TY SANIT" DISTRICT
UASHINGTON COUNTY, SID.
Project: Mauaansville/Orchard Hills 5015-1-5
SANITARY SEWER Lr;iE L
CONSTRUCTION RECCR21-
At- « as a s haw to y br. ve -
Street (or location): M,�2T,NR�✓CSR= _Tz5r-___ /9 0_y___ 2SN
Contractor: Calles Contractors,_Inc.
I
Drop
NOTES: t
3, 55 - 1 1 .7S' -
I�S0��ND
°Mope + Horz= t ota-,
L
.0 O i 6.0 8 -r- /3.7 s
18.83
P STARE
i
'sT'u B
I S oe).
Depth of Cleanout $, O $ ' CaF1cw Line
Cleanout�S�_From AAA I N L I N F_ y2RU IT Y SEWER
L a y e d n��
' u NKn(ownl Basement Service
C1.0.
a
M
MH"" i Z y &-STA O i- Gla LT
MHI' I Z S--
Amounts pertaining to work completed this period, reviewed and approved.
U' C S D tr�ors _._
n w f� e �• , o rRep
-�--�r-_ t", o h r: c-__,...,.,....._.._-.�,.
V
H /2-/
TO MH /ZS- i/
Date Installed
Lic.-G. L sT Z 4. / 983
Wye Ste. , On
Main bt G/ e -
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAU.
LAS{INIG
SiIZE
TYPE P'PE
C .O.
C .O.
LATERAL
LENGTH
LENGTH
g
Err /7ciC
_
*Horz.= Tata
X6
(QVC.
8.0$
St'd,
x
8
SSR-i�
1
I
Drop
NOTES: t
3, 55 - 1 1 .7S' -
I�S0��ND
°Mope + Horz= t ota-,
L
.0 O i 6.0 8 -r- /3.7 s
18.83
P STARE
i
'sT'u B
I S oe).
Depth of Cleanout $, O $ ' CaF1cw Line
Cleanout�S�_From AAA I N L I N F_ y2RU IT Y SEWER
L a y e d n��
' u NKn(ownl Basement Service
C1.0.
a
M
MH"" i Z y &-STA O i- Gla LT
MHI' I Z S--
Amounts pertaining to work completed this period, reviewed and approved.
U' C S D tr�ors _._
n w f� e �• , o rRep
-�--�r-_ t", o h r: c-__,...,.,....._.._-.�,.
V
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,� ,�•, C d s i C R,Y
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15-1S
Property Address:
iia1 L - n� u j%)%a SVjavJley Dr. (GAI #529)
MH 124 to MH 125 Dwg. #601-055
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.
L
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: �.�`� /S, /5 32 ��R%Z 1 E �%. �4F V TN -5
Owner (Print)
Ownez's Signature
/t
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Fce
/Q YeFp
�.� WASHINGTON COUNTY NTY SANITARY DISTRICT
I
�3�3West�Wash�ingtonS�treet 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:
,Address-
igned (►� �, , r °� �3
Property Owner
Date_ (P - E
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 Contractor4,Inc.-� 0
Approved by W.C.S.D. Inspec r
Date /_ ) /_ I Q Z