HomeMy WebLinkAboutLat_13814SunriseDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER 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
PERMIT NO.
DATE
SUBDISTRICT
Address:
Connection Fee
( ) Units
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.
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
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 B
Field Offic
d • ' ,.00k►
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1381q Contract No. SD15-1 S
Property Address: Sunrise Drive
MH 328 to MH 329 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.
II 0
a II
468 ( I)
I I (131)
II 11
---
8"SAN. I I MH SD15-329 401
a — onw a —
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i II
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. 9-2 2 --Fn—
Owner (Print)
Owners Signature
Attest: _
Was Co. Sanit y District
(Form WCSC-1)
Replaces Form WCSC-56
.�e-11 001k
WASHINGTON
3 -A-3a-
�A-I;9 y6e
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:
Address - i --? / U _ --
�toperty Owner
DateT,T/��
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 Con
Approved by W.C.S.D. In
Date 1 ,�
WASHINGTON COUNTY SANITAR)r^JSTRICT
WASHINGTON COUNTY, ISD.
SANITARY SEWER LATErr"I
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1—S
r3v/v /
Street (or location) : Biz
Contractor: Callas Contractors, Inc.
MH3 z8 TO MH 3 -ZZ ✓
Date InstalledNNo U 1 83 Wye Ste, On Main ( t S5 i--
WYE SIZE— TYPE DEPTH TYPE EXCAV. LAYING
-S-IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
S x 6 XB " PVC *Horz.= Total
zo yr St'd.
lS,ro j -F j�,og �-t
ope + Horo�ta
Drop
NOTES:
Depth of Cleanout A. z Ce -Flow Line
Cleanout r 3. o a' from t O
Layed Z
Basement Service
MH 3 28
574 1-► 8 9 L
Amounts pertaining to work completed this per
By /�� �J JA_
WCSD Inspector
MHr# 3-Z'7
, reviewed and a
ontractors rep.