HomeMy WebLinkAboutLat_13932SunriseDriveWASHINGTON 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: ' a ✓;3�
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
( ) Units
To Main Line:_
Other
Industrial
._ Date Paid
PERMIT NO.
DATE
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
8-1 91i;
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
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 Boa
Field Office
wt.31HI dGTON COUr.TY SANITARY DIONKI ICT
UASHINGTON COUNTY. MD.
19
- NITARNY SEt;CR Lr i'E
7NSTRUCTIOh R CCi;U
Project: Maugansville/Orchcrd Hills S015-1-5
/?)73;L -
Street (or location): x=3-7 s1,,y215E7 Q.wrat)tr
Contractor: Calles Contractors,_IM'c,
Date Installer' mA&c,-► j7. is S_Y_
MH 35 Z _ TO MH
W;e Sta. On Hain /2L9Z,s A- L,
WYE
SIZE
SIZE--
TYPE PIPC
TYPE
C.O.
DEPTH
C.O.
i'YPL �
LATERAL
ExCAV.
LENGTH
LAYING
LENCTIi
sarz zco
r'
*Hcrz.= Total.
Pvc
vc
,t0S6 v,'
,
Std,
z y, 0 1- F
z o, z 5- � �=
NOTES:
Orop
Slope+ Horz
)0,96
Depth of Cleanout /0.5,4 '-Flow Line
Cleanout , y_ ti From —_
Layed
YL:5 Basement Service
MH;;' 3 -5 r
Amounts pertaining to Work completed tni-,
By %,�_ . Q �i %�,.
WC3D In3pec•tor
1 7 1 1- -r t
s
w
sT'9**l-t92.5"L MH!' 3s S i ERM
period, reviewed and approved.
Contractors Rep.
v�
LTJ A
Washington County Sanitary District
SEWER SERVICE LOCATIGN
Subdistrict No. SD#15
1- 13-4- Contract No. SD15-1S
Property Address: 'Sunrise Drive
MH 357 to MH 358
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 485
I ( 337
I
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: Z v -F _ R. C A V L R ---
Owner (Print)
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
yP s�(-337 Sa.ueise-)
AtWk 35$ Plans -all for lateral to be &Yzr-T
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 x (301) 791.3083
b
L -
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
' /- I
r
Address_ J61 6 6)
SignedT�,jV
'Property Owner
Date
t,;ashington 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 Contractors Inc.,f,,
Alt t
Approved by W.C.S.D. Inspector
Date / Z Zo - 8 3