HomeMy WebLinkAboutLat_13802VillageMillDriveY WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE
P.O. BOX 571
SUBDISTRICT'
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM -7-G—rclaard
hi l 1;i
Permission is hereby given to
For Property Located at:`(I or-hh Nmr- th S-'-. T 1 ugani- -1 1 e Yd- 21767
Owned by: fel alrrenme T��a— I r Address: _ Box 51 ll s3 nsyi l@ - Idd 21767
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee'no Date Paid
To connect to a public seweragekwater 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-Treasurerke
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
Date
Plumb nspector
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 i Plumbing Board 4
Field Off
Date
WASHINGTON COUNTY SANITA^ QISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATERiL
CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills S015-1-5
)3g Vi IlQ0 m� 11 QY•
Street (or location):
Contractor: Callas Contractors Inc.
Date Installer'_ //- /- 8-3
MH Sot TO MH 3 3 _Z/
Wye Ste. On Main o � 89.7 k
WYE
-SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LITERAL
EXCAV.
LENGTH
LAYING
LENGTH
*Horz.= T al
8x X 13
to PV c
Pvc
5.70
St'
SOiz 35
SD2 2 to
ope+ Horz-Total
NOTES:
Drop
/Z • 80
(o•y3 � 7.35. l3.7g
wA71UZ SE:KVice CiCA4OUT-
-0
Uj-O
�0
g MA1N
ys " O&NO s
Depth of Cleanout 5.70 "3-,F'low Linew-
Cleanout 7-8c, From � M'91*7 G,N�
Layed 0, /7 p�TeR toao�
yo Basement Service
at89.7 e
MH7 3ot
MH# 301
Amounts pertaining to Work completed this perio , reviewed and approved.
BY
WCSD Insp cctor&/ Contractors Rep.
F
r' .-, r ,. .
Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
eet k3$62 �i Ilaoq� YY1► l I I�n�t2
MH 1FF to u. 303 1wg. #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.
�
3 II
�-- 3 0o I I
O
Z � 11 II
it
N ►I
III
�.j 1 OF
(I I) to ( �
I o I
i U)
L
tI
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 (Print)
Owners Signature
Attest: j
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
AoNk
Nor Jh 1kalth 57,
�O
WASHINGTON COUNTY SANITARY DISTRICT
11 Iii
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_��%1//i/d,�'fh 5`
Signed
perty OwnerA
Date — /5
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.
Approved by W.C.S.D. Inspect
Date