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HomeMy WebLinkAboutLat_13915SunriseDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 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 ( ) Units Commercial Meter Size Connection Fee (301) 791-3083/3084 — To Main Line: Other Industrial PERMIT NO. DATE SUBDISTRICT +� 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 Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: ��a��Q� U-) __ 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 Bo Field Office �.iHINGTON COUi;iY SANITARY DI�RICT UASHINGTOiJ COUuNTY, MD. Project:_ Maugansville Orcherd Hills Street (or location): SD15-1—i NITARY SEDER L'TU.` U.` NSTRUCTION iiECCi;C Contractor: Callas Contractors IKc, L"zzic �Icrft- Date Installed /1�A2�,+ 14-L9el MH 3S'C T0 MH 36'7 L1; e 5 a. On fain Ll-_..r.r YC 5IZt— ! DERfH— rYI�L EXCAU,Y .._._.r.�___ - LAYIi:C: SIZE _-TYPc TYPE PIPE C,O. C.O. LATERAL LENGTH LENGTH 6"BOR 26 *Herz.= Tot -al. g PVC �,�� l . 'J F St' d' NOTES: Drop 71 ape Horz=Total S7= 241, y , f N.2 111 qs-4 g,.N� Depth of Cleanout -7 `Flow Line Cleanout i 9, ~I ' from d- of MAiN , inrr' L a y e d 7 fiKmo,,.v Basement Service MH 3 s-4, 5TRsr b t 7 7.6 R 21STuB 1"H;_;= 3s7 Amounts pertaining to work completed this period, reviewed and approve By ij G WCS0 In pec;,or Contractors Rep. r- MIN. i2Prw — e w,1uc of. -our vim., w Wt «, . 13RV�_ Property Address: 3-2-2 Sunrise Drive MH 356 to MH 357 ..k CjAAb&PQ Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S 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. — I 30 0 4 j� (32x2) o (30V c 6"W4 f3 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: 11 Ile) $2 2:- t D r- .S' t Owner (Print UU Owner s Signature - Attest: AA anita District (Form WCSC-1) Replaces Form WCSC-56 vg96.3.2.2 svveisc-) Plans =all for lateral to be ��F7 i low WASHINGTON 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: L Date Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 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., Lz Approved by W.C.S.D. Injspe or Date