HomeMy WebLinkAboutLat_13732VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned bv:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-3083/3084
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: S:<Z-2-2 „ �N
--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: _ Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
SHINGTON COUNTY SANITAI%oPISTRICT
ASHINGTON COUNTY, ISD.
SANITARY SELIER LATE,'?
CONSTRUCTION RECOFiND
Project:_ Maugansville Orchard Hills SD15S
Street (or location) : �► S. �pz7.,� s, 1332 iii I lace M�'II
64%-z 7
Contractor: Callas Contractors Inc.
MH 30 � 7'0 ISH 3oL
Date Installed 11- 9 - 8 Wye Sta. On Main o
W T L ,iZL- IYPL DEPTH
SIZE TYPE PIPE C.0. C. 0.
$ •r G' rEE G
SO¢ Zv
So R_ zc 5.41 ►rC
NOTES:
f2
I 4s�eFrJo
.. sE. co-
"'• LttI1tVL:
LITERAL LENGTH LENGTH
St3d.
*Hort.= Tota
*Sl
ope + Horz_–_Total
Drop `� 13. ax. • 4 -Ca . �
Go..Jc..aC'rE S=0C JAg...G =140 C...itgs=jc
Depth of Cleanout 4.► afiow Line
Cleanout fz`F from J sE..JC%C ..a.a=.a�--
Layed 0 Z.oto qc.W_c vaop
�+/�► Basement Service
rr PLO ui
InH-1- 30/
MH.3 Z.
Amounts rta' ing Work completed this period, reviewed and approved.
BY 'D (,-- �s , 0 ---I —
UCS U Inspector
Contractors Rep.
/rnrr, W77r—",
t , -
Aft -M•*4 P/
Washington County Sanitary Dist t
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: _ 13732
MH 301 to MH 302 Dwg. #601-039 —
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.
F-1
'(0
107 108
I
II
L
LL --=7=--J
MH SD15-301 8" SAI
4 6 'w
_ R/W--
F.H.
7A 1- "17 4 1
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: V--2- 1 Z is 17 a-/C�( L✓. C/ --(e 4 v 1( n
Owner (Print)
w.'��.
Owner's Signature
Attest: J l9--�
'Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
/O2(a01OorAN 9
``
COUNTY SANITARY DISTRICT 1s%a F'7'
•ll
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:
Washington County Sanitary
33 West Washington Street
Hagerstown, Maryland 21740
Gentlemen:
/ - ;Z 0
Address% � '
Signed
Property Owner
Date 3
District
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
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/ Z