HomeMy WebLinkAboutLat_18230ShawleyDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby giv(
For Property Located at:
PERMIT NO.
DATE �6��'`�
SUBDISTRICT No. 15
V1 lle/Orckar4'
T�=.IIs
Owned by: ='f3yne 0 rr Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Martin Road, Boy 253, tlkiaugansvi l le, AL) 2175
21 x657
Units
$620.00
To Main Line:
Other
Industrial
_ Date Paid
�.
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.
I 9
Secretary-Treasuretr
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
$ Z 1 3
Final Inspection Made BY: S11'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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Date
5 W ii�►•c C n.s.
L'ASHIN'GTON COUNTY SAND'-' DISTRICT ANW
UASHINGTON COUNTY, MD.
SANITARY SELE;?
CONSTRUCTION RECGi;U
Project: Maugansvillc/Orchard Hills snis-1—S
Street (or location): MARTitV Rd C ult s'Z-7 - taoY ?_S3 1$a3 SY1Glullf.f rCq-
Contractor: Calfs Contrar.tors, Tnc.�
M H' l Z G TO til H' 1
Date Ins talledAu 19 93 Wye Sta , On Eiain o + G s L.
6tYE
517E
SIZE--
TYPE PIPE
TYPE
C,O.
[DEPTH
C.O.
TYPE
Lr,TERAL.
j
j EXCAU.
LENGTH
LAYI�,G
LEMGTII
6"PVC,
PVC
''Hort.= Total -
6
S.zZ
St d.
'
x$
S
��
�rnLY-Wcli--h. rt.:�t/
�Sope +�Horz=Tota
NOTES:
Drop
'ZZ•0 LF
6 'G �=
Z2.6y L
9'
s
1
I.Z
04
Z'sr a
,5=3%
Depth of Cleanout T-22 � 2-i-f-3.ow Line
Cleanout !$' From i• of MA) N LI 1►1 ....._...
L.iyed 0 3 if
Basoment Service
MH'J` I Z &
,.9 ot6Sc.
Amounts pertaining to Work completed t'r,:'.s period, reviewed and approved.
By
Wc�)�:,'�)�C �.OI'-.••==�.G�t .?G �Or 5 f(e . .._�...
P
6-
'e r —
001*.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: Kt. #6, Box 2.53 Mart_ir Rnari )g?.,;O
MH 126 to MH 127 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.
R/W
AN 1 MH SD 15-I
�i `W_
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 p`�-operty
line.
Date: Q
caner (Print)
Owne §" Signature
Attest: e S
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
X
X
(
527
k=�
(RT 6
I
BOX
-
I
i 253)
Onfl
tS,Q
FH
I
UI
MH SD15-126
8-"
R/W
AN 1 MH SD 15-I
�i `W_
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 p`�-operty
line.
Date: Q
caner (Print)
Owne §" Signature
Attest: e S
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
W
,..
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, 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:
'f ---S FT
dress A0* (.I 90\�< J,6V //(4j
,
(Si'gned
Pro rty Owner
L15'
'Date
Washington County Sanitary District
33 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,
Approved by W.C.S.D. Inspec
Date