HomeMy WebLinkAboutLat_13642VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. _
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM'Fr
Permission is hereby given to: — '^
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial _ — Industrial
Meter Size Connection Fee — 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 SF�)cifications.
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: ,A `q j � �✓ Date 2,1 4�,, ff
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 Offi
,fir.► _. , 4L-Mlehee S. 0401 '
WASHINGTON COUNTY SANI DISTRICT SANITARY SEUER LATE�1'?
UASHINGTON COUNTY, MD. 1, CONSTRUCTION RECCELD
Project: Mauoansville/Orchsrd Hills SD15-1-S
Street (or location): 315 -6op-p4 QOCZM5-rp�ET ml-# 093
Contractor: Callas Contractors, Inc. 010geUV�l(� [�riJC
Date Installed_ S 25 83
"!H 150 TO MH 151
Wye Ste, On Maini+?4.5 L_!
WYE SIZE-- TYPE DEPTH TYPE. EXCAV. LAYIi�1C:
SIZE � TYPE PIPE C.0 C.0 LATE -RAL LENGTH LENCTI{
�PVC �*Horz.= Total
4A,' St,d.
tX6 X8
*Slope+ Horz=Tota
NOTES: Drnp
C.o. � I �j• S 1.F 7.4,' + I'S = Z8.9 LF.
t1.5
r.5 STu�AN
4S" OF -mo
8 -3sw&,?
Depth of Cleanout 4.It,rFlnla, Line
Cleanout 15' From 4 or= MAIN
Layed C 7.S
Uo Basement Service l
1+2-.5 L
PSH;,' 130
Amounts pertaining to work completed this period, reviewed and approved.
BY W.
Contractors hep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 15 Nerth Street `2�A-Py2 \11' 0 0L!oje (n; I I lby, 2
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.
)92 0
X) I (095) x (1 1
II ,
--JL
8 SAN:
095 096 0
(II (2 (2
� � II
SD15- 131
3 ) I ( ) mm (�)
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 A war- IAC r .S M a ink
(�_
wner
--
n/� Owner's Signature
Attest:
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
O'`
,Cafe r !�
\\ a1`
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:
/ 1 1 V17 , 1 /I
Date ,� 8
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills Sewers
r^„+ract 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:
0 A, -
Requested by Callas Contractors, Inc. �,f�r.� ,'G!dT?�•.
Approved by W.C.S.D. Inspector_
Date