HomeMy WebLinkAboutLat_13710VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-3083/3084
To Main Line:_
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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 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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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 Office
'.lrSHINGTON COU' ';TY SAND DISTRICT ' SANT SE1�'E' Lr,lc L
UASNINuTOtJ COUt!TY, MD. CONSTRUCTIOP! ZEC(:i;U
Project: Maucansville Orchr:rd Hills 5015-1-5
Street (or
location):
►.� or rer
1-15-110
- --- 6A7r
'tlaoJe PYt�t!
o 9
Contractor:
Callon Contractors
Inc.
Date Installed.--(,- 14 -
MH 131 TO Mr, j3a _
Wye Sta. On gain ,1+(.4 L
WYE SIZE— TYPE DEPTH TYPE EXCAV. LAY ii;G
S-1 7E TYPE PlrEl C.O. C.O. LATERAL LENGTH LECNGTI
Sti b� b.. Pvc *Hort.= Toga --
PVC
Sot 35 Solz Z(,
-4Slope + Horz=Tota.
4 ssoeuA�r. 2Bw.o.l�o �2 co.i5:, Drop
NOTES: Lc /9.6 Lrq, 7 f '- /1.4` ���.tL
Gia.. tJ D�QSJ4 L.o-isr.
Gu28
15. L �F sy�..iaax
/Y�1 Sit
1 45' .1'"FSrug
scroo
wo fru
sr,
l8"SF.JEe-
Depth of Cleanout 10. 6 vF CFIcull Line�--------
Cleanout t S. 6 `'F From �` sE�Ec ��►rJ ""`_ ".,.`.'" """�
Layed C' a. oo _ FlfA0,-Cx aeao
^Jo Basement Service 1
a+ 64
MH;; 31
MH ,L 13J
7�
Amounts pertainingo work completed 'his period, reviowed and approved,
BY
L."CJU jn-,Pec;z.or Con -c-
Lw ori Rep.
�.._... I- - r. , %
60
M
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
-Z-0>1 Contract No. SD15-1S
Property Address: ?43 -'North Street 13110 �� t�aa� l i l Dr►'V2
MH 131 to MH 132 Dwg. #601-037 N
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.
i
1 0 I 099 I 100 rk-
lor
(23t)
\--—��L--a`=�vCO LLQ -- �_� -- `��
8SAN.e.. W L MH SD15-132
— — — — R/W
1 1 1 180I I I 17
(2 ) II ( )
I I I 11
I _
u
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: q 22 Z I-�%��s
lOwner (Print)
Owners Signature
Attest: (/�JAAAAA III
WX s o. Saf ita District
(Form WCSC-1)
Replaces Form WCSC-56
..• ,.N
k
SHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-p
/!
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
if o �5 L
Address_
Signed
,c' /C� .
Property Owner
Date_ t �►
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. Inspector
Date 3/--7 i � -