HomeMy WebLinkAboutLat_13814VillageMillDrivef'WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 414
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICTNe. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/Wt_ TfR SYSTEM Tian a2laville/Greha�rd
Permission is hereby given to:
For Property Located at: 25
Owned -by: Assembly" Church' Q',` Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
( ) Units Other
Industrial
Date Paid
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 -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 Ins or
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
Field Office I
Date
'LJASHINGTON COUNTY SANITA STRICT
WASHINGTON COUNTY, MO.
Project:
Mauoansville/Orchard Hills
Street (or location): SS EM 131.1 C/�uQc
SD15-1—S
13Tty
SANITARY SEWER LA E,���',
CONSTRUCTION RECORD
MI I1 Dr;
Contractor: Callas Contractors, Inc. /
(" H 3 o S TO I� H 3/ I I/
Date Installed //- /- (33 Wye Ste, On Main //- Zo, L-'111' ` 1
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
*Horz.= -al .�
8)(6X5-
(0 "J0VC
_
CASs
!�l. Sb�
Stl ,
Soe 3 S
SvQ z (v
YR
�rS .ope+ Horz=Total
NOTES:
Drop
Z'�/ o
,
(./� + /7.1) = ZS/•o�
gklpi�l ?
C LE AMou, T
Depth of Cleanout yS0 Flow Line--�---- -
Cleanout /0)-Z' From mgia
Layed @ y
&o Basement Service
MH;r 30 5-
MH -"1- -11/
Amounts pertaining to work completed this period, reviewed and approved.
BY
� � WCSL) Insp or Contractors Rep.
c.C'u
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1U14 vi (Jcz( q ((Yli I I {fir, Contract No. SD1 5-1S _
Property Address:
2-zri�t-h---Street (Assembly of God Church)
MH 305 to MH 311 Dwg. #601-056
Place an 'X' in the sketch belc:a to indicate whcre the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
15-311
-
C
.I
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and male 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: J
Attest:
(Form WCSC-1)
Replaces Form WCSC-56
J —7 72 1
"'*a
WASHINGTON COUNTY SANITARY DISTRICT
(X/A%, 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:
Date Ila —
Washington County Saclitary District
33 West Washington J V1 CC L
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:
_ D
Requested by Callas Contractors, Inc.
x Approved by W.C.S.D. Inspector /mac �A
Date JA /.<- /,o �