HomeMy WebLinkAboutLat_13803SunriseDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAG EVATER 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
X03
To Main Line:_
Units 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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
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Final Inspection Made BY: 4 Q4p� ' � A A_42t ,` _ Date b" ��^ �%
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 Bo
Field Office
0
A
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Property Address:
MH 327 to MH 33a
Ank
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict- No. SD#15
-13$03 Contract No. _SD15-1S
-14-8- Sunrise Drive
Dwg. #601--068
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at thac location.
C. B.
629.8
INV.
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l
INV/
I
II ����JJJJ
R/N
MH SDI`
ti ,`uN
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The undersigned agrees that the Sanitary District may
excavate an additional five (S) feet inside the property
line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to pr.e�!ent damage to the cleanout
which will be installed by t'l� Di_scrict at or near the property
line.
Date: 5�5L-' � A f nTM
Owner (Print) —
t3wner s `6lgna ure
Attest:
Wash. Co. Sanitary Di_stri�_r_
(Form WCSC-1)
Replaces Form GvCSC-56
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4.- _
Property Address:
MH 327 to MH 33o
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
I-),$ b3 Contract No. SD15-1S
-141$"Sunrise Drive
Dwg. #601-068
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.
C. B. '
629.
INV.
R/W�
MH SDI!
z
0000
UI r GAI �1l l \J
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:
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Owner rind -
Owners igna ure----
WASHINGTON COUNTY SANITAEDISTRICT
WASHINGTON COUNTY, SID.
Project: Maugansville/Orcherd Hill
138x3
Street (or location) : -14-6 S_4.v2iS_E
Contractor: Callas Contractors, Inc.
Date Installed` /6- 7- 83
SD15-1-
SANITARY SEWER LATER'i
CONSTRUCTION RECORD,
z 505
MH —3? --Z TO ISH 330 L�-
Wye Ste, On Main /t37 -.y I-�
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING:
LENGTH
*Horz.= Total
Pvc
Pvc
$.oh'
'.
Std
Sok 35
.SDP_ Z(1P
y3.i S
A/o. 53
ope + z - Total
Dro
NOTES:
M4JN
/Z wATE�
Mq iN
-O
` /C C.& AN cam. i
F —
Depth of Cleanout 8 06 ` C1FIc)ul Line
Cleanout 38.6 From
Layed @ Z 5_,
c4A/kNow,j Basement Service Q
H 3z.y
MH,".3Z7
W
w
MH#" 33,0
Amounts pertaining to work completed this period, reviewed and approved.
BY /3.,x;
WCSU InaP c-, t- 4g Contractors Rep.
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