HomeMy WebLinkAboutLat_13908SunriseDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO,
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE!WATER SYSTEM
Permission is hereby given to: 1151,110
For Property Located at
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
-- To Main Line:
Units Other
Industrial
Date Paid _
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
Final Inspection Made BY: D �...% � `L�__ Date1—
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 Boa
Field Office
Property Address:
11909
Sunrise Drive
'M%k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
MH 355 to MH 356 Dwg. #601-069
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.
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x
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T. B. M. 31 u INV. 633.4
,c 24"S C.B.-24" S
CLI) 1
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f349 QF
479 v� (3 )
(313)
R/W -
$D15-355 8" SAN.
'r,+ R/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 property
line.
Date: *17-8Z A LeEf_T T. C4IZtoCSL9-y -
%owner (Print)
V•
Owner's Si P111rure
Attest:
Wash. Xo. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
..•.
10
.� .
Plans call for lateral to be
WASHINGTON{ COUNTY SANITARY DISTRICT
r ii
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 3L7 v >�2t 5F7 tv�
Signed
Property Owner
Date
1,ashington County Sanitary DJ strict
33 West Washington Street
Hagerstown, Maryland 2174.0
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, Inc,�_A�r�
Approved by W.C.S.D. Inspector (2"
Date / 1-
WASHINGTON COUNTY SANITARYSTRICT
WASHINGTON COUNTY, MD.
SSANITARY SEIJER LA i E:�-- :,
'CONSTRUCTION RECORD
Project: Mau an.sville Orchard Hills SD15-1-5
/370T/G,a g Y 75
Street (or location) : ,.��- s�,,.s 2,s,� D,Q
Contractor: Callas Contractors Inc. -L E T gQS:5L9'
Date Installed Pei?/ I9 aq
MH 35,6- TO MH -3 S� ✓
Wye Ste. On Main 1+
WYE
S77E
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH,
Sx G �g,
�" s,DR 2
PVC-
*Harz.= Tot
{SVG
G. Z `( V r
St' d .
ape + Harz=Total
Drop
g�Z74 IT'.3=
NOTES:
25-. 'kF
2 3,6-7 LF
10,__,�.0
3.3 G.33
2'
Tb,B
Depth of Cleanout G.2`1I T) 1.ow Line
Cleanout From of m q,m,,,A1E a. .� ....b .._.
Layed @ -7. S
• /�a Basement Service
SYA # I + K o . 5- � v,
MHii'' 3 s�� MHTc 3s6
Amounts pertaining to work completed this period's. viewed and pproved.
BY
L;CSU Inspector ontractars Rep.
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