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HomeMy WebLinkAboutLat_13704VillageMillDrive.v ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 439 33 W. NASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. es71 DATE Feb. I 1 19 6i dit S1l�BISTRICT,No 15 PERMIT TO CONNECT TO PUBLIC SEWERAGEI YSTEM upgfi 1svi e r� atT'cl Hills Permission is hereby given to: Paula A. Nixon � © For Property Located at: 243 S. North Street Owned by: Paula A. iiixon Address: Box 24, 14augansvi I Ie, Maryland 21761 Type of Connection: To Service Connection Type of Service: Residential X (j ) Units Commercial To Main Line: Other Industrial Meter Size Connection Fee X620.00 Date Paid _- I 'I - To connect to a public sewerage/a9= 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 V /� � A y 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 Permit Fee Final Inspection Made BY 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Date .6-// AT-<, Plumbing Ins for 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: DISTRIBUTION: Permittee 1 Plumbing Board 4 Field Off Date Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 . Contract No. SD15-1S S t, t Property Address: i3 �(��i V(Itage- Mill Oriye MH 131 to MH 132 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. all w O 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. AUAj /)g, ]l Date: p � T J N/`yOA —T Owner(Print) /q 0 -J - Owner's Signature Attest: Was Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 #001' AOW 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: Address_�U-S7 Signed rroperty owner Date 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: Requested by Callas Contractors„ Inc. Approved by W.C.S.D. Ins Date / 9✓��o ✓t� t�._S Ir,uTON COUNtY SANI�DISTRICT SANITARY SEIJER Lr;ic 1 UASHINGTON COUNTY, SID. CONSTRUCTION Project: Maugansville/Orchard Hills 1;015-1—S Street (or location) : 243 50077N 00e71.1 6i2CL-t 6Ar 096 Contractor: C_al'vs Contractors, Inc. +310 V-1 ` Date Installed (. Zt0/83 MH i31 TO MH )32_ Wye Sta, On Hain 1+ L- W YE SIZE— I TYPE DEPTH TYPE EXCAV. LAYIN`L- S -I E TYPE PIPE C.0. C.O. LPTr-!RAL LENGTH _ LE:NGTI{ 1�Horz.- pvc , _ otal $''eG K8" � 5D2-ZG pvc 5,si St NOTES: 6" WLzq *Slope+ Horz=Tota Drop Ig I.F. it -3t 9.1' . = 270.4 LF Depth of Cleanout 5.51' "Flcu Line Cleanout 14' From 4bt= MAIM��� Layed C, Z% C-1 AF-rtre i7aoP • W Basoment Service 1417-Z MH I b I Amounts pertaining to work completed this period, reviewed and approved. 2y r%�u►,1� lit. E_;N(,L�= ufl—,s ��i13�)�C"t0r C ont r za C L o V s Rep.