HomeMy WebLinkAboutLat_13737VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAT.FR SYSTEM
Permission is hereby given to: lielen Hol sixv:er
PERMIT NO.
DATE
SUBDISTRICT
For Property Located at: 1 anjith Nn 't- I , iAliZaT'sa-f 13 e. Md 21767 —
Owned by: '`Ielen -iolsi er Address: I'.0. Bur 7-15 Mgug nsvills , 2","7(-'7
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
X To Main Line:
Units Other
Industrial
Connection Fee 620, 0Q Date Paid Z54
To connect to a public sewerageX r 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: A 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board LI.
Field Offi
Date
/WASHINGTON COUNTY SANITAopkDISTRICT
WASHINGTON COUNTY, MD.
Alm SANITARY SEWER LATER„?
CONSTRUCTION RECORD,
Project: Mau ansville Orchard Hills SD15--1-5
1373`1 i l lace M � 11 iur •
Street (or location): 1S S_ ,J00 -Sr_ 4cr 4 -
Contractor:
Contractor: Callas Contractors Inc.
MH TO MH_10_y:61/
1/
Date Installed !1- 8 - 83 Wye Sta. On Main es
WYE
S17E
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
$-.&1." •"
`" PJC,
*Horz.= Tota
soe za
PVC.
S. 8.3 V
Std.
ope+ Horz=Total
:.O wIGL E� S=per J A..K
�CQ•+o v G0
Drop
NOTES.
4 -ST <<
. 3.95
31.0 �a
l2.�S i 19.3a = 3Z.oS
L
�S.SL-0
4S' ii¢.Jo
b a-1wr'EQ �
Ib•�
" 'Sr 2
Depth of Cleanout 5.83 1Ir" 12Flow Line
Cleanout Z4 LC From t sewea rAaty ej
Layed @ 2.5o A� �aoP
JA Basement Service
FLoa.J
MH;i--- 302-
Amounts
oZ
Amounts pertain'ng to work completed
BY WJAJ
WCSO Inspector
2 `” S n•3
MH#3•%
this period, reviewed and approved.
--a-4�r�� r' c t o r` Rep .
�,
A
Washington County Sanitary Distri
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: S—S---ATerth Sty eet i3'13 -1yj- j �Qggp `'ilii i Or'i VQ
ME 301 to MH 302 Dwg #601 -03 -9 ---
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.
w W
107 18
II (I
I I
MH SD15-301
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:—
qx�ner P int)
Owner's &gfiat
'P-
Attest:-��-
Wash. Co. Sanity y District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
/:�* (i8) lyaet�
R/anS Call Foy
�a f'eoo / e o lie
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
i-�5- /`7
I hereby request the contractor to install the lateral in
accordance with the following conditions:
� � � Ze106() G�clr,� GE.
Address
Ir
SignedL,o
Pro r Owner
Date a
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.4��
Approved by W.C.S.D. Inspector -Ay"
Date