HomeMy WebLinkAboutLat_13720VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
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
r I .
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 elnspe
Final Inspection Made BY:Date
Plumbg or
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: Permit
Plumbing Board
Field Offi
Date
'�'TSHIIJG70N COU^ TY SAPJTT ''" DISTRICT "ANITARY SEUrR LATE:.(._
n C �" �n1
UASHINGTON COUNTY, MD. CONSTRUCTION RECURLD
Project: Mauclansville Orchard Hills SD15— —S
Street (or location):. 211. 6W,14 IJTO ST►Z� CAl: l06 V3-= VO la ?. Mil)
-- - r4'VI
Contractor: Caller Contractors, Inc.
MH I3Z _T0 MH I33
Date Installer'-5bl63 Wye Sta. On Hain Z+14.SL�
WYE
SiiE
SIZE—
TYPE PTPE
I TYPE
C_. 0,_
DEPTH
C.O.
TYPE
LATERAL
� EXCAV.
LENGTH
LAYT,.N'C:
LENGTH
wHerz.=
G
Total
ByXL�"Xf>
�L
$.Z(c,
St' d,
25 LF.
16,S LF.
lope + Horz=Tota.
Drop
-
NOTES:
21 roT 6ruts
GAN eu'r
JuSi Aa4l"O wAL%.
��f✓stvtic WALL
T
M.n i;vvv
MW 137— ! ` .�, tJn(Lra-6-r,&1Er M� 133
Depth of Cleanout 8.Z6 f`Iow Line
Cleanout 16.S ' From OF MAW
L a y c d C 14
• f4o Basement Service
2414.5
MH; 132
MHW—F 133
Amounts pertaining to Work completed this period, reviewed and approved.
nt
A .
LJC3D insp c.•zor Contr
4
A
A^
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property
211 AT,�rt-h
Address: -- - -- ---
Stroo+-
---- 61?_O \A ll osy
Mill OrIye-
MH 132 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.
0
Q
0
I k 1015 I m I I
(211)
4H I /, R / W --�
-- -j L- --- =- -
- — R W
132 _ 8� SAN. _ MH SD15-133
10
1778 7
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. u�1!7n s vc/lD e/e,8/a
Date: /0i7/�t Z cJ a t71 2
t Owner(Print)
Aw,,e
OS
�ignature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
C� Coy/
Z►/ery / eo
WASHINGTON COUNTY SANITARY DISTRICT r -r.
33 West Was 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:
I l._ 1 -4- -r A
�2 I! -5, Nbrt4.
Addressk"74
Signed,/�,,+'—) Y
Property Owher
Date -393
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:
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector
Date