HomeMy WebLinkAboutLat_18316ShawleyDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER 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
Units
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: �?.�� T 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: Date —
DISTRIBUTION: Permittee Plumbing Board
Field Offi
ujn'HINIGTON COUNTY SAND'''Y STHiCj ,
WASHINGTON COUNTY, XD.
Project:_ Maucansville/Orcherd Hilly
S015 -1—S
SANITARY SE! ;E0 L TE-;'•
CONSTRUCTION RCCfI;�D
Street (or location): Shawt�y I7r i�lQ
1,931(a
- _ -2 2\`
Contractor: Calles Contractors, Inc. -
MH_�_TO 11H�_
Date Installed QuQ(/t,-- S, 198,3 Wye C,ta, On Main
WYL 5IZE-• j TYPE DEPTH TYPE i EXCAU. LNYIE"JC.-
-
SI%E TYPE PIPE-C.O. C.O. LATERAL i LENGTH LENGTH
�'Horz,= Tota ---
5�1Z-z� Rvc. 3.oc�'t3d.
'Ilops-r tiorz=Tota.
PdOTE S
Drop ZS. oC7 ' Z5.33'
( 2-S' + Z2.83')
CLEAN -Our__ _.._
23.33'
EY.I�i-� ri c� C� zvc.i nid
ro Z1
I � �8 " W ATEi2 MAIN I I
g,, u
WPM: LAT-ETZ_A. - CONC. ENCASE(]
19 I F7.
Depth of Cleanout �f ln
Cleanout Z3-33' From MtAin( LiNe
L a y e d C' 00
f�tQ Basement Service
Q C'0.
MH, � J"L7
ST41. I + !8
MH;;` !Zg
Amounts pertaining to work completed this period, reviewed and approved.
2a - 60-
WCSu Inspector. Contractors
tractors Rep.____'_._.
a� 3-3—
Coe rc�A2d C7Ru-QE2
Washington County Sanitary District
W
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: Rt. #6, Box 252 - -� d i831C¢ 5hrr�tty lbeive
MH 127 to MH 128
. 4601-055
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.
Q�
1
I�i
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 -'e -P- the cleanout
which will be installed by the District at or neer the.p-roperty
line.
Date: /T /2- F r M � / f� IR h
Owner (Print)
weer s Signature
Attest: � c�
Wash. Co. Sanitary District_
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
.r
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
it
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
SF7
Washington County Sanitary
33 West Washington Street
Hagerstown, Maryland 21740
Gentlemen:
Address_ 76 dex af-.z
Signed
_/k�.
ro erty 0er
Date
District
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
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
ocation:
Requested by Callas Contractors, Inc
Approved by W.C.S.D. Inspec or
Date