HomeMy WebLinkAboutLat_13740VillageMillDriveWASHINGTON 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/W#dW SYSTEM
Permission is hereby given to: 30 l d i e Weller
For Property Located at: I i S. N o r i; h S't r e E
Owned by: Goldie We lei^ Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
X
1�3140
PERMIT NO. -
DATE
SUBDISTRICT No 15
Maugansvill; Orchard
Hills
P-_0_- tin;: 15, Maugansvi I jr , MD 21167
To Main Line
Units Other
Industrial
Meter Size _ Connection Fee $62Q-00 ._ Date Paid
To connect to a public sewerage/fir 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasure
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: Date
Plumbing ector
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: Date
DISTRIBUTION: Permittee 1 Plumbing Bo
Fiel
Off
1
�kSHINGTON COUNTY SANITA,DISTRICT
WASHINGTON COUNTY, SID.
Project: Maugansville/Orchard Hill
Street (or location):_[ S. ,voQ7-,y
AN
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GAz
SANITARY SEWER LATE:F.
CONSTRUCTION RECORD
01a M"Itor,
Contractor: Calles Contractors Inc.
MH 3(3/ TO MH 30 Z- ✓
Date Installed` Wye Sta. On Gain 2!+58,3
TEE 6LYf
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYIPf%...__r__.r
LENGTFI
8x � x (3
!o'' pvC-
pVc
y 96
St'
al
*HLope+
SDL Z6
SSR zc�
W
Harz=Total
NOTES:
Drop
) 7 o
�- If 7 /-'> C No-,
B' M,9,N
CC"tANOlt i
Depth of Cleanout Y 9( lqnf 1.ew Line - -�
Cleanout /3.1 From
Layed @ Z - S 5 �94 7.6& DA a&
No Basement Service
Z+55. g L
MHr Sol
w
MH# 30Z -
Amounts pertaining to work completed this period, reviewed and approved.
BY
V WCSD In;3p ctor �/ ontr ctors Rep.
'Torr- 1IT-IC-% 1
A e_
AOM
10
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: • #e t 1 31 q0
MH 301 to MH 30L Dwg. #601-049
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.
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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. ,, /�C/ /�
Date: � � h � % y I"l )41 '"_ F
Owner (Print)
Owner's Signature
Attest:
AM. Co. Sanitary District
X
' X - -
(Form WCSC-1)
Replaces Form WCSC-56