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HomeMy WebLinkAboutLat_13706VillageMillDriveV#,"ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. o 33W:'WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 (301) 791-3083/3084 DATE April 23,. `19 P.O. BOX 57185 SUBDISTRICT No. 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATFR SYSTEM wlaugansville/Orchard Hills Permission is hereby given to: Mr.. Lester E. Keefer, Jr. I j D For Property Located at: 239 South Forth Street, Niaugansville, Maryland 21767 Owned by: Lester E. Keef®r, J27Wdress: 239 S. North Street. Maul rgn4vi 11 _ Yin, 2176' Type of Connection: To Service Connection Type of Service: Residential X Commercial Meter Size X To Main Line: 1) Units Other Industrial Connection Fee : 620.00 Date Paid _Anri l 23. 1 qS To connect to a public sewerage/9r*IC�tsystem (with proper abandonment of previous private system). The installation of the connection and the aba i onment 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. gecretary-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: Date Plumbin nspector 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 3 Field Office City of Hag.—I .Z g.5 %g ke c,Xe e J L.'NSI(Ifti'GTON CCL"''�TY SAND""' ',DISTRICT UASHINGTON COUNTY, ISD. Project: Mau-ansville%Orcherd Hills S015-1-5 SANITARY SEWER LA T E:;;:L CONSTRUCTION REC(:;;C- i Street (or location) : 239 60LITH NORTH bTGzEET CAI* 097 (3-70(J V'*ila�e rAit) - ridgy Contractor: Cali -cc, Contractors, Inc. Date Installed % 5) a---� MH 131 TO MH I3Z Wye,, Ste, On Pain 142A -Z L -= W Y L Silt— I TYPE DEPTH TYPE EXCAU. LAYIINi '51ZE TYPE PIPE C,O. C,O. LATElRAL LENGTH _ LENCT1-! (o" PVC *Hertal pvt 5.a�� �t C.0 1.51 Stull 8 G :N5r' 45° f= b"-6r--wee [IblOpe+ tiorz= 1 ota Drop Z3.3 LF: 10-4+ lo.l = Z0.5 LF, Z� G v� Cu I" s,.yi r,�wnuc a� htw�Z Depth of Cleanout 5.86 '- F 1 c w Line Cleanout I( From OF MAW Layed C Z ___;, AF'Tr=Q 1Pao P Po Basement Service I-f24.Z M �H;; 13Z Amounts pertaining to work completed this period, review/ed and approved. insp=tor Lbntractors IIep. J! . - A` AMWA Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: 49c� t 1: IOU 6ACAge A/1 1 br-l'u2.41 MH 131 to MH 132 Dwg. #601-037 Place an 'X' in the sketch below to owner wants the service connection property. Place a wooden stake in I I 0971 00 0aipI ;(2399)) 2 ) CS; , C -Qq 811 SAN. 8,. W indicate where the property (lateral) to enter the the ground at that location. I' C10 0 i' 101 ( 0" ( 2� 11 (��) I I �i II I t `� I' t j 180 , 17 I � MH SD15-132 R/W 178 11 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. nn l J Date: ,elzW Owner (Print) Attest n er s Signature ash. Co. SanitarM District (Form WCSC-1) Replaces Form WCSC-56 /�/o rs s ccs // rtos WASHINGTON COUNTY SANITARY DISTRICTfil 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: v Address 239 S llo,-7 S 400011,• e= U1 it 11 _ Proper y wn r Date 2- 7-73 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-1-;; 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 it contract price at the following location: Requested by Callas Contractors, Inc. Approved by W.C.S.D. Inspec Date