HomeMy WebLinkAboutLat_13638VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
(301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
i 363
To Main Line:
Units 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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 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: Permitt
Plumbing Bo
Field Offi
Date
U ASHINGTON COUNTY SANIT00* DISTRICT
UASHINGTON COUNTY, MD.
Mi !ee M. MCban4irJ
"*1- SANITARY SEWER LATE-�,'=
CONSTRUCTION REC[:;
Project: Ma-ugansville Orchcrd Hills
Street (or location) : '32-3 5ou r" IiiokTH 67'Qe-e=T GAr # 091
Contractor: Calla;; Contractors Inc, X3437 Vi'licky-Mill Orrle-
Date Installed^ 5 Z23
WYE SIZE-- I TYPE UEPTh
-SIZE TYPE PIPE" C.O. C.O.
g�,X�"X �� � PJC PuC
5W—Z& I g.41
NOTES:
TYPE
LATERAL
St'd,
MH— _TO MH 130
WYE Sta. On Main 2t21 L
EXCAU. LAY1iNIG
LELE NG T H. LE N T11
*Horz.= ToLal
Z(;.� LF
cpe + tVffrz=To
Depth of Cleanout 8,41' 'Ploy ;�; ne
Cleanout 1(0-5' from--
Layed Q
"MV-NMAJ,j Qaserient Service i
Z+ ZI L
MH tl� 129
M H;; 130
Amounts pertaining to Work completed gilds period, reviewed and ]approved.
F,Y Dc—:�l\1N15 W % ) �/
UC7 T? ns Lc nor i� ontr<.dors Rep
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property
Address: i% i TAT
y. } 1^ v v i v c, t
13(p3gyl Qct!r -
MIA
MH 129 to
MH 130
Dwg
#601-037
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.
n
47� I
09109 09
I I i (323) (X) II (31 X (0 UP
)
01 1 III - - --15-r- C7=== � � - - -i L - --i L- -
8" SAN. MH SD15-130 8„W 8"SAN: _
R/W c-_
FG-7-
L
QW) II (iAP
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 : 0., /8 / 9'° 2- 1 LE E M . N C -00N A L -
Owner print
Owndr s S igna re
Attest:
YLC _v -
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
4 , r
0
ON -
,r
WASHINGTON
33 West
Iola hs
Za1Pro'lj
e
COUNTY SANITARY DISTRICT Q.
ington Street, Hagerstown, Maryla---------------
nd 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral
in
accordance with the following conditions:
Address_�
X02
T� i �npC7
Pr pe ty Owner
Date y ��
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 2170
Re: Maugansville/Orchard Hills Sewers
Gentlemen: Contract No. SD15-1-5
We hereby request permission to install the house latera
Of greater than two (2) percent and/or in accordance with
above conditions at no change in contract price at the following
1
location: the
Requested b •
y Callas Contractors, Inc.
Approved by W,C,S•D. Inspector
.� 910 0
Date