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HomeMy WebLinkAboutLat_13702VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084 PERMIT NO. DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM �'-Xx Permission is hereby given to: �- 6'a For Property Located at: 4 ° Owned by: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: '"x '4`1�r,4yi?,t.?:1 Connection Fee To Main Line: ) Units Other Industrial 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. 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 .57 Final Inspection Made BY: _ Date % 0 ZK= Plumbing Inspec 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: Permittee Plumbing Boa Field Offi Date M AeThA S. M�TN. ':,'ASHINGTON COU?:TY SANIT^ DiSTRiCT '�!�+ SANITARY SELrD LATE- L UASHINGTON COUNTY, MD. CONSTRUCTION ZECCi;CJ Project: Maucansville/Orchard Hills SD15-1-5 Street (or location) : Z47 50UJ-W u02TN 6MEET G= Z* 095 Contractor: Callas Contractors,- Inc. 1310-L )ji IJoae i(Yl;I r JP „Y Date Installed&7/83 MH 131 TO MH 1 -31 - Wye Sta , On Miain 04-51-15L , WY;. 51ZE— TYPE DCPTH TYPE EXCWU. LAYING SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH (o" PVC �c 5.��*Horz.= T 'al .....y S'"z("xB"" SDQ -26 ' st � , NOTES: Z �STit8 ope + Horz= 1 ata. Drop 20 LF. 1 9.9 + 11.e) = zi-7 Lr'• 51Vf--- WALJC 6W -n4 UvaT,+ /%"• C.O. G t4 Or-, 8"SEwpe Depth of Cleanout 5.91' f lou., Line Cleanout 1%.V From L a y e d C Zrf �� APTee D2af' Mo Basement Service 0+51.3 H;;` 13Z Amounts pertaining to work completed this period, rev�io%wwed and approved. E Y ��ti►vi5� P—hl(,LE ep L".SD in pd icor dontr<::rtors F, Property Address: MH 131 to MH 132 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S 13'702 V' 1104e Mi t 1 Drive - 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. 0) P(096 0 2 1 � (2 I 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: /0�20/RZ L��R`f�A S 1'l,191e Owner(Print) Owner rs Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 Ca 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: s Address_ , %. • �'Az t yyktt.�- "I .: Signedy`rlc�ti Property Owner —� Date Washington 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 wit?; -he above conditions at no change in contractpat the following location; Requested by Callas Contractors, Inc. Approved by W.C.S.D. InspQ, r Date 5 1 50