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HomeMy WebLinkAboutLat_13801VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 P.O. BOX 571 PERMIT NO. 376 DATE i 2 /4 /,q SUBDISTRICT No. 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE SYSTEM Maugan8Vill Orchard Permission is hereby given to: Donald K. Alt ��� Hills For Property Located at: 12 North North Street, Maugansville, Wiarylanc 21767 Owned by: Donald K. Al Type of Connection: To Service Connection Type of Service: Residential 11 Commercial Meter Size Address: P.O. Box 313. "r augansvi It le, MD 21767 Connection Fee To Main Line: (i )Units Other Industrial $620.00Date Paid , To connect to a public sewerage/01M 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-Treasur r (� 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 Permit Fee Final Inspection Made BY 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Date `V Plumbin spector 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 Boa Field Office 1 Date WASHINGTON COUNTY SANIT DISTRICT UASHINGTON COUNTY, MO. SANITARY SEWER LATE CONSTRUCTION RECORD Project: Maugansville Orchard Hills SD15-1-5 Street (or location): /2 A), IV N T" 13,iQ1 LSI to mI� Y' Contractor: Callas Contractors Inc. A Date Installed QrT 31 . 15' q 3 MH 30— TO MH Wye Ste. On MainQ+ Z�l -RT- ✓ WYE SIZE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYING LENGTH �x 6x CO) 6" PUC pUC- �'Horz,- al -731 VF Std. Sp2 �.6 _T ope + Harz=Total NOTES, Drop 8 0V/V) r 1 215Twa Depth of Cleanout '?.3lCFlow Line Cleanout 16,) "From ©F' MA IN LIN E L a y a d 7 1,py, fa Qt 3 j2 Basement Service MH'- 3©2. sf'9 mot 2 I RT kz- n MH3,``' -30-1 Amounts pertaining to work completed this period, reviewed and approved. BY UC Inspector Contractors Rep. -. PIS p1 Washington County Sanitary Disetic SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15-1S Property Address: 42--N Nertl-, ctr-Pet 13Yc l fY1u MH 302 to MH 304 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. 0 4 —X -i i 173 0 X SAN. X r I -- IL —I `--- — — R/W MH D15-302 1 g" SM rT II 171 170 U 6 (12) (1� P r x 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: Owner rint Owner s Signature Attest: "L j j Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 o, 30'z' /'�/ (/a) /VOR m S 7, j a . ®,G Zoienol 4, WASHINGTON COUNTY SANITARY DISTRICT / Fr ' �A I Ii 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— Signedw�r� G7L Property Owner Date 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, Tnc Approved by W.C.S.D. Inspe Date 3 1 7