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HomeMy WebLinkAboutLat_13716VillageMillDrive3 WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. i5 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE—10--84 P.O. BOX 571 SUBDISTRICT . No.. 15 PERMIT TO CONNECT TO PUBLIC SEWERAGEMAT8A SYSTEM Mauga.Asvi l-le�Orchard ���j kills Permission is hereby given to: _ � __ Tl anSPlB�Lor For Property Located at: 219 Sm"thOr- tb St-1aU9 Y'sVj1-1P-:—M 21767 Owned by: Elmor L. Masepeaker Address: Po, Q. Box 474 Maugax- Syille, Ind 21767 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size' To Main Line: Units Other Industrial Connection Fee©,IiO _ Date Paid (9 -10 -8 - 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Secretary -Treasurer ko 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: CA 4 4 JrJ Date q - 26-9 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-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Board 4 Field Offi Date k/Me,4 X • g4vs&-4-tr e WASHINGTONv COUNTY SANITY` DISTRICT ' WASHINGTON COUNJTY, SID. Project: Maucansville/Orch rd Hills _ SD15--1- Street (or location): SANITARY SEDER LATE-:,';- CONSTRUCTION ATE-.'LCONSTRUCTION'! RECORD 13-11(j V1' Ilao,4e 4'1 ;11 lrid( Contractor: Callps Contractors, Inc. Date Installed 6-1-1-03 MH ._. I .-.. �T 0 M H 13.3.._ Wye Sta. On Main 04-19..2.L- WYE f-19.?.L- WYE ST :.E SIZE- J TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYIING - - LENGTH 8,. �.. Y. *Hcrz.= �Tota P%JC %.ObJF St Soe 3S So¢ .Z( _ .4 -or c,,es �1� cF..�o✓eo a "` NOTES: Io. 8 c v r,E.�+P. �a✓r.J` Drop moo. �F T51 oo + Horz=Tota. $. 8 �F+ 0.9 `�` I9.,7 4s, 64w,JJ 1.41.0 srv3 Depth of Cleanout L.o(. VF: rFlcw Line Cleanout i s. 'g From 4. %E jea r,4.*zj Lz_iyed C 3.a� ��.�° AFrV-.G -aaop • ,.Jo Basoment Service C. o. o + -1 8..a M H„` 13a 4e. Wo 4TU rL.o,.J MHidl- IS 3 Amcunvo pertpining to work completed 111his period, reviewed and approved. L'CSU 1(lwi z:, .,'tor Contractors Rep. r - -. 1 'r -- ^ • I GNa3 A Property Address: MH 132 to MH 133 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S -2-19 N ,..t e--r,,,,t wi l u V f 11CLC1e jY1t d Uri Ve --- 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. C] Q O � rr I_3I 6 p i i 102 I 10 �ml (219) (2X-) (2 I I 141// j H. I // R / W --� 132 8„ SAN. MH SD15-133 Q X45. n a _ I C) / 1776 ---- J - - -- - 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. Owner (Print) wner '49 Signature Attest:���Qcl 'jFF Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 r'Poz602/V) -1zlorrA s'� �—`a ,,, a era � t e WASHINGTON COUNTY SANITARY DISTRICT 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_, q _ •� rn� /�`� Signed .,,,��„ V0 Property Own4§r 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/ 7J 9,'3