HomeMy WebLinkAboutLat_13713VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
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: 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
'-'ASHINGTON CCUtNTY SAKI -00'- DISTRICT ' SANITARY SEL•;CR LATE -PL
UASHINGTON COUNTY, MD. CONSTRUCTION RECCRD
Project: Mauaansville/Orchard Hills 5015-1-
i 3l 1 3 i l a� Y►� i l� i JQ.
Street (or location):, S'F-Ar �.
Contractor: Calfs Contrar.tors, Inc,
Date Installer— (o- IS. - 8.3__
MH 13% TO MH 1 a
L1ye Ste, On Main a+ a-3-2
WYE SIZE- TYPE DEPTH 'HYPE j EXCAV. LAYii,.C:
SIZE TYPE, PIPE C.O. C.O. LATERAL i LENGTH LENGTH
*Horz,= Tota
PQC- S.4i St'
502 35 5 DR. Z(.
SAF sroe�A�K �. 3E5lope + Horz=Tota_
(Zeft'AGea Drop ..c ..v
NOTES: 3o.7 9.S { .;Q. 8 = 3.).3
C.0.
ce-
c t.Q.A2.Aw1Ge
4S� .l cF SruB
8
S �4,,�R. " S �►¢C
Depth of Cleanout S. 41 �F '� F Icul Line
Cleanout a7.8`'F From—C I seoE¢ 0.1gr.J
Layed Q (o. -Is ._ �� AFTeZ -DC->P
Basoment Servico C.O.
MH ;' i83
MH#` 131
Amounts pertaining to work completed this period, reviewed an a r ed.
ov CIR,
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UCS iri;a: ��or Contri.ctors P,._
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD#15
Contract No. SD15-1S
Property Address: reet t3-lc3 V%'lla!y rni o Orme
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.
0 7
100 t� 101 I 102
098 i (O 9 I I (2
I (2 ( i I �� I I l
I�T 1
0bg
L 1 8" SAN. B,. W —. IMH SD15-132
R/W
IL81 180 I 179 i j 1
rl ( ) Q I (2 ) ( 226)
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: D !'(FLUi1'\l S AXR
Owner (Print)
Owner's Signature
r
Attest:
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
.►
WOW- WASHINGTON
/9q ��a6] Norfh
COUNTY SANITARY DISTRICT /ca Fl`
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
i !/
To: Callas Contractors, Inc.
- I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address �{
SIgned
'- Property 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. Inspector o
Date
c,