HomeMy WebLinkAboutLat_13640VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE
P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: Nevi t L _ AoLi V r.
For Property Located at: 319 S. North Streei:, M&uQanxyille, MD
Owned by: - i�elUC(1,Sr-Address: P_fl_ Rnx 242, (vj B,S RSV l �i l� 21ld7
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential
Commercial
Meter Size
Units
Other
Industrial
Connection Fee $620.00 _ Date Paid
To connect to a public sewerageatec 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.
P4,. � - .0_
Secretary-Treas er
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: � l�t�lzLl�.i,6r% Date 9119- 04 -
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Board ;
Field Office
u`nSHINGTON COUNTY SAND'- DISTRICT
UASHINGTON COUNTY, "ID.
"' ►' SANITARY SEWER LA EES- "i
CONSTRUCTION REC(;;',tD
Project: M2ugansvi1le Orchsrd Hills S015-1-5
Street (or location) : 31c) 50UTH NORTH STREET GAL # t09`L Alonractor: tV
Callas Contractors, Tnc, 13CA40 �t1Qge Ir brie
Date Installed- 5ZZ5/63
"1H 130 TO "IH 131
'Wye Ste, On Main o+2 -5L
UYE SIZE- I TYPE. DEPTH TYPE � EXCAV. LAYINIG
S17C TYPE PIPE' C.O. C.O. LATERAL LENGTH LE N1- T I!
6„twL *Herz.= Tot --
P1/C.
-NOTES: (o� LATERAL 6ia2V 1(_r. AW -D 3A,
C•i . I
t
F 55Wav jai ki H
f 20 �N
Coe�2
C-0.
Iblope + horz=1 ota_
7.4'-+-15.2! = ZZ.(,, LP.
MET£e Gov
tet- GoN[QcfE
LIC G4R�
'014 WA -ME
I
Depth of Cleanout 4.460�..F1 aw Line
Cleanout
IIo From MAIu QMP
Layed C 75 � f -Tc2 G2oP
M0 Basement Service
MH; = ►3a
MH;;= 131
Amounts pertaining to work completed this period, reviewed and approved.
5 Y fkt�itlt� W.
luC5 1 1r,spec ;or con--Ki—c'.1-ors kep
ee P/ pr
w,l (3a 6 lt:' ,Vc
r
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 31�Nr St -r- ct j5CO a Vi��agP_ YYI�d�
MH 130 to MH 131 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.
8° SAN. MH SD15-130 $„W 8
R/ W
-- — —,—�
77 3
I 11-T US
do r—
(3)1 _� (3 ) Q� ( ) �, (K2)
-- ----- --11 The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
dine 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. {LLiCk,
Date. tAJ i -1 �3 vC��G a L
0 ner(Print)
Owner.Signature
Attest:
Wash. Co. Sanitary District
79 0 — I /s—s—
(Form WCSC-1)
Replaces Form WCSC-56
S ca
�WASHINGTON� COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
APPA4 Sr
ID r
aAe
- I hereby request the contractor to install the lateral in
accordance with the following conditions:
v
`LYS
i
Address
Signed
Property Owner
Date �1r1 r y 3
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: