HomeMy WebLinkAboutLat_13815SunriseDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
A
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT _
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at: _ -
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units 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
Tel ne:791-%3146
Permit Fee
Final Inspection Made BY: �,�.°'�•,.-1 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:
DISTRIBUTION: Perm
Plumbing Bo
Field Offi
Date
Property Address:
MH 328 to MH 329
C. 1)
AWN
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
f3z«
Contract No. SD15-1S
lam- 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.
i
I
502
P)
II 0
it
J� T
(136)
�- C'
..II e%r%i= 'znn 40'R
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: /2//6 �A � �5 F i4offl T, -IT
T!
—T Owner (Print)
Owner s ignature
Attest: r
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
sC'a-l. /��v SUIJ 265��
WASHINGTON COUNTY SANITARY
Ia4TE e A l Te' BF
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:
LA,ddrre s s J (
Property Owrler
Date�1 --
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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
WASHINGTON COUNTY SANIT DISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATEF-i'l
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
/385 –'
Street (or location): -}-_V6 S.,. r-csE mr_ VAS S'0 Z_
Contractor: Callas Contractors,_Inc.
Date Installed it- S- 83
MH 17_6 TO MH 3L9 ✓�
Wye Sta, On Main Z4 ot3 2
WYE
SIZE
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
$•.� `..
6•• P��
4'r*Horz.=
_
Total
Sot 35
Sot. t.b
PvG
�j, IC
St'd,
31.85
Lc).Go c.c
ope + Horz=T 47
Drop
NOTES:
t
LF
Depth of Cleanout 9./e 01:' CFlou Line
Cleanout 2_-i.(.o1-' From t sr_, )Ec "ami
Layed Z-oo
YES Basement Service
18.S `F
MH;1_1 32,9
C.O.
4x
1 2 �� aJg1ER„
Cw J
MHS 3z8
Amounts pertaining to work completed this period, reviewed and approved.
BY wlj e "
.o—a..L %I . X460
WCSU Inapector Contractors Rep.