HomeMy WebLinkAboutLat_13733VillageMillDriveWASHINGTON
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:
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
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: <�D— t . A ,Com"`"`" "`J -- Date t 2— !q b l
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: Permitte
Plumbing Boa
Field Offic
Date
• �tNGTON COU",TY SANITAR TRIC3 ;ONSTRUCT
- 'NGTON COWMq MD.
�1au ansville Ofiard Hills 5D1S—'�—S�J 11 r
o,�ect: i3�33 j11a. iYl
/street (or location): !�A.l # 176 A2QMZ - .�
J/
Contractor: C_a„lles Contractors Inc.
mH TO MH 30/,
Date Installed_, 4uac.6
L•!ye sta. On main
Y J1[.L-
-E TYPE P!
x S' soL-
NOTE;
1P. V. C
)ERTH TYPE
C.0, LATERA
9.30' stud.
Drop
EXCAV.
LENGTH
20,70'
f IT(-/
Pep-
epth of Cleanout 9.30' Flow I.Ine
leanout 20,73' From q_ MA/AVL//lE 624VlT
;_aged CSO
Basement Service
l
S"M LC -
SrA. Z -t 3l.
LA`/ I NIC
LENGTH
*Horz.= Tot
ops+ Horz=Total
lS 58 t- 7. IS'
22.73'
MH# 30!
O C.O.
Its pertaining to Work completed this period, reviewed and approved.
G c
Contratozs R
�$(J Inspector—
� -as
r
12
io
C,t'V,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 92 Nnrth �tv -t 13-733 t �0.0,e Vni IVP
MH 3Oo to MH 301 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.
i
I► l
I I
! i1
MH SD15-301
,. w
F.H.
(� I —x1f
176 I 7 11 II I 4
(22) I ( ) c
17
C;L�I F1`1 TWO N�
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. ZL - $Z �f
Owner (Print)
Owner s SignatL
Attest: z- I. 13
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
.� 'e
O/'
jwk.
WASHINGTON
196 (aa) JV ore *A S
Rla n s call JAR
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:
r
Address J-2 S, Ve)2 s I/
Signed
Property uVhter
NEEMEN-1 M�w - I
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewer:
Contract No. SD15-1 -S
Gentlemen:
We hereby request permission to install the house latera
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the follov-
location:
Requested by Callas Contractors, Inc.
Inspector �Q
Approved by W.C.S.D.
Date