HomeMy WebLinkAboutLat_13739VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM
Permission is hereby given to:
For Property Located at: 163w!--
Tayy,c� - PIOI ri>�tt faY'
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
Units
To Main Line:_
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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date
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: Permit
Plumbing Boa
Field Offi
/ !.WASHINGTON COUNTY SANITAP►►, DISTRICT
UASHINGTON COUNTY, MD.
Project:
Mauoansville/Orchard Hills
Street (or location):
7) S._AID
SD15-1-
13
T•
SANITARY SEWER LA T EP,'- i
CONSTRUCTION RECORD
�► = 17 3
Contractor: Calks Contractors Inc,
MH 3 o I TO MH 3`o_Z ✓
Date Installed //-3-83 Wye Sts, On ��ain Z+3 2✓
7C-E"5iZE-
„SIZE
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING '
LENGTH
8 X � X B
� Pvc
PY
St �
__..
�Hcrz.= -al
C
SpR Ze
SDR z �
Slops+ Harz=Total
NOTES:
Drop
30 - o
(o I WgTEIl
Mg1M
g Y A4414
C LE A4 ov T
j4----�
/. C ctA2AaeE
Depth of Cleanout S•/(P !flcw Line
Cleanout ZS. 5 From � A1q,;v
Layed n $ v I fTE2 nkop
UN&&Sk!U 6/ Basement Service
Z t 39. 3 Q
MH ' -3 of
N
N
MHS 3o Z.
Amounts pertaining to work completed this period, reviewed and approved.
BY r-�-� .. _.._
WC5D Tnsp�tor ffontractors Rep.
t r- % Aoft
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
c cContract No. SD15-1S
rH--as�--�Qr'_�_ ._sir_ f:.e P t
Property Address: 13`1-4q Vtjlcnoie i(Y�; ►l �Jn'y?
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.
r —
i
— — — --� I— — — — -i L —) `— — — — —
SAN.
172
A
3
m
MH SD15-302 1 g" SAP
TT
I 171 170 II 6
F
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.
Owner r ' t)
Owner 's Suture
� Attest: • � ��-%l�_,
Wa . Co. Sanit; y District
(Form WCSC-1)
Replaces Form WCSC-56
/ P3 �,6 ) !1/o,e��,
p/a r)5 Ca For
00- 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:
Address -A� JJ` 11/427`i- s7--
Signed
Prop rty Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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:
64)
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. InspectorIf 1 -11,
Date