HomeMy WebLinkAboutLat_13711VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
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
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
+
Final Inspection Made BY: ---�`—-Qct. i n w , �>k.� --- Date---
Plumbing
ate_ 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 Office
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 7 91-30831 3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER 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
To Main Line:
Units Other
Industrial
Date Paid
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 Board
Field Office
NabLQ r (Al; Ili Am 5 ✓✓
'u"ASHINGTON COUP.TY SAN:10'" DISTRICT '"" SANITARY SEWER LATE-,';-
UASHINGTON COUNTY, MO. CONSTRUCTION RECOR'
Project:
Mauaansville,/Qrchard
Hills
SD15-1—S
v
Street (or
location) : 230 SOUTH
Klo¢rN
STeeF-r
Contractor: Callas Contractors, Tnc,
MH 13 TO MH 13Z
Date Installedr &63 Wye Ste. On Ilia -in Z+67.8 2
10
WY:. SI1F— TYPE DEPTH TYPE EXCAU. LAYIPIC ~�
's-1.71 TYPE PiE�E C , C . LATERAL LENGTH LENCT1�
& " pvL~ - HarZ.= atal
RIC 5.76' S t'
5nQ-2t:
#5ope +1HHorz=Tota_
Z9
N'oTEs: C. 0. Drop LF to t' Zz.i .= 37.11x
21
Depth of Cleanout 5.76 - r l o ul Line.�.�._.�._.�.._.�..�...�_��..�..,.w
Cleanout 25' From pF ti^AtAJ tau6
Layed n 5 _ r; At=`%2 Przov
Mo Basomont Service
MH." t3�
Z-+ 67.8
NH1- 13Z
Amounts pertaining to Work completed Eras period, revi ed and approved.
UCSC 'inti-� nor Cn;��r t rs rtep_____.__... w w_
,
i ! �
0011'
*M.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
Contract No. SD15-1S
Property Address: 230 North Street 133h \J1,00ne Mii j,r1°v2 ---
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.
U(22RW
1 0 8 I 0 I 100 I� I0 102
(2�(2()( �)iI( ) 11 (2
�
II
8° SAN.a.. W L IMH SD15-132
- - - - RAW
OD
1
180 r`"Jj 1 9 1118
(230)( ) 2 )
I 1 I II
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:
%R'� �tI 12C�1i) (� L
Owner (Print)
Owner s Signature
Attest: JoLQ�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
Flo
IC90
%Plans
Linen
ca )/ A®,-
Lia ,6e
COUNTY SANITARY DISTRICT A -z Fer-
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_
Property 0,4i-ier^
Date r % ti3�
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 2171.0
Re: Maugansville/0rchard 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:
R
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector
Date 3,