HomeMy WebLinkAboutLat_13712VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAXER 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
k !FI LID,
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT -`p• '15
Hills
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: _�2�Qtl . d�d�_ Date_$—
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:
DISTRIBUTION: Permittee Plumbing Bo
Field Offi
Date
WASHINGTON
COUNTY
SANITARY
DISTRICT PERMIT NO
33 W. WA:HINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083/3084 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 Bo
Field Offi
��MSHI':GTON COUP:TY SANITY"'"- CISTRICT SANITARY SE;.uE;; Lni'c=
UASHINGTON COUNTY, MD. CONSTRUCTION ZEC(iFD-
Project:
Maucansville/Orchcrd
Street (or location) : a�tiQ2r" _ -L=r*:
Contractor: Callas Contractor:, Inc.
r,H 1�TO MH 133
Date Installed 6 - 14-- 83 Wye Sta, On Main 0+1,-
WYE SIZE- TYPE DEPTHTYP% j EXCAV. LAYING
SIZE - TYPE PIPE C.O, C.O. LATERAL 1 LENGTH LENCT11 _
Pvc vF St *Hort.= Tota
'Toe Soo- 7 (' {
NOTES:
8 Cc sroC w4c �c 70 arc.
c.o.
L
14.8
45o A Lc SMAS
I SE.�o
8seWCA
srb i_cpe+ Horz=1 ota.
Drop �F �< cr
1-7. -1 / 0.7 + 10. .7 = aa4
i — —
voaru
Sr.
Depth of Cleanout 5.'('dF rEFlow Line
Cleanout Wa'—F From sE,.,gf- ^4AXJ
L a y e d 4. _ig
_J0 qc*-Ee �2oP
&10 Basement Service
o+'S
MH,;I 13-2 MH =` !33
Amocritcert fining a work completed tiris period, reviewed /a)nd approved.
UC5[ 'lr15po, ,owUuntr;,1C ors hep
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
��
Property Address: 2'Ne rth—cue 1'�1 t'L V" IIaGE rYla 1 ---
MH 13Z to MH 133 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.
a.
I I
0 7 1 0 I 0 I 100 i� 1 1 102
I (2 ) I ( ) it (2 ) I (227) �1 (2 II
II II �
8" SAN.L MH SD15-132 -
s" w -
_ Raw
1 1 1 I 1 0 I I II 18
j (2 ) Q I (2 ) ( ) I I (2 )
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: 10/Vo/6%>'� MoA: n /x 4lzt/ &
Owner (Print)
Ownei"s Signature
Attest: AAAa
4asTi-.Co. anitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT 42- �"
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:
Addres
Signed `J
Property Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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 with the
above conditions at no change in contract price at the following
location:
0k -
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector
Date