HomeMy WebLinkAboutLat_13735VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: — I�
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
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: Q, ��� �—t �'M� 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: Permitt
Plumbing Board
Field Office
Date
WASHINGTON COUNTY SANITi DISTRICT
UASHINGTON COUNTY, MD.
SANITARY
CONSTRUCTION
Project: Mauaansville/Orchard Hills SD15-1-51 135
/ , Q e rYI � 't l Tr.
Street (or location): ZO S. n/o2TN S7QteT (G�+� i75� _
Contractor: Callas Contractors, Inc. C off,_, o
MH 30l TO MH 3 o Z
Date Installed Wye 5ta. 0n Main 0��}/;a---£�
04gI
tom£itd' SIZE- TYPE DEPTH TYPE EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
v 41 *Harz.= Dial
Bx�X s" "PVC Pvc 5.5� sty
5D2 zc. sne z (.1
NOTES:
I—
8" AA A)'14
G"wATEA MA19
5. 7c-' A
X/5' 13EAID
,wbiope + Horz= 1 otal
Drop ,
3/-01 /3.3� �- Zo.ZS = 33.(o0
I Y5 CCEA2A./CE
Depth of Cleanout S s SFlow Line
Cleanout Zlo-75 From Ft MA,,�
Layed 0 S. S , A f rF-Q ,plop
t kmowBasement Service
of S8. S R
MHS,,' 3oZ
Amounts pertaining to Work completed this period, reviewed and approved.
WCSU Ina eeyor /Contrators Rep.
r Vft
Ak
Washington County Sanitary Dist
0001h. SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: -?—�isrt c}rte ti
t 3735
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.
MH SD15-301
.W
R/W
F. H. I
16 175 li II 1 4 —"1 i 1
c '
_Ir
I
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: -2 Z
T �f- ,-/ r w,) s
pOwner (Print)
Owner's Signature
Attest: n
d! 3 e Q
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
/-'/ans C�11
�a teca/ to 6e
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:
)- v�J -=I PL U�
Address 1 c- N0/P7W 5 j,
Signed P
Property Owner
Date 3-21 — Y'3
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. i�b/Olt
Approved by W.C.S.D. Inspector
Date �' so I a`