HomeMy WebLinkAboutLat_13916SunriseDriveWASHINGTON
COUNTY SANITARY
DISTRICT PERMIT NO.
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084 DATE
P.O. BOX 571
No. I5
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIW&TSR SYSTEM
i-lt,/Urchard
Tills
Permission is hereby given to:
Donaid E. +-(adl-:�y
0?3 Sufirise ociye,, iviau:alisy111e, Maryland e17n.
For PropertyLocatedat:
JG;13 1
Hadley Address: 323
Drive, IMc ugailSv i l le,
MD 21 767
Owned by:
Type of Connection: To Service
Connection
To Main Line:
Type of Service: Residential
( `i) Units
Other
Commercial
Industrial
Meter Size
Connection Fee ' J
_ Date Paid
To connect to a public seweragefwater 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.
r
Secretary-Treas rer
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
Plumbi 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permit
Fiel
Plumbing Board
Office
Date
'U"A3HINGTON COUNTY SANITARY DWRICTrNITARY SEWER L; Tc�r'L
UASHINGTON COUNTY, MD. INSTRUCTION REUIRL;
Project: Maugansville/Orcharci Hills S015 -1-S
39ke
Street (or location):_ a Sc. ,y/�s_r
Contractor: Callas Contractors Inc. ®MN -L) E HP'DLf
M H 3 -5 -go T O M H 3 S- 7 L�=.
Date Installed /22&c,.2r, 159 It Wye Ste. On Blain /foG&�
WYE
SIZE
SIZE- J
TYPE PIPE
TYPE
C.0.
DEPTH
C.0.
TYPE
LATERAL
EXCAV.
LENGTH
LAYINIG
LEPJCTIi
gxGxg
G",SDI; zc,
'•Horz.= Total.
Pvc
vl-
St'd,
PVC
-
ZS',� o �F
F
NOTES:
Drop
["��
ope + Horz=T al
r2`
�'sTa3
Depth of Cleanout / Z Ulow Line
Cleanout 20, S 6-1 From C of M4 /N I -I Al 67
Layed � _
Basement Service
MH;;35-6 5ra i+aG I MH= 3s-7
Amounts pertaining to work completed this period, reviewed and apprOV2190
8 Y �`f~ Al
UCSD InspectorContractor~
?r- -. r ,,
51
Property Address:
MH 356 to MH 357
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1 5
139110 Contract No. SD15-1 S
Sunrise Drive
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.
1 C o
481
I � r
�► -- R / W --t - — - — -
e F. H.
G °
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: /%Perv,4.cn ..IVAb-,,-Ei /-
Owner/(Print)
-
Owner's. -S nature
Attest:
Wash. C Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56