HomeMy WebLinkAboutLat_13818VillageMillDriveWA, rINGTON
COUNTY
SANITARY
DISTRICT
PERMIT NO. _.
33 V/WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
301) 791-3083/3084
DATE _
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial _
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
To connect to a public seweragelwater 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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date 2
Plumbing 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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITAOP STRICT
WASHINGTON COUNTY, MD.
Project: Maugansville/Orchard Hill
Street (or location):
SANITARY SEWER LATERI"A
CONSTRUCTION RECORD
SD1S-1-S
1518/
T2EET' ( G/9ZJ //S
Contractor: Callas Contractors Inc. '\ r
Date Installer' //- 2- 83
MH 3,6 S TO MH 31/ ,/
Wye Ste. On (lain O � g�,5 P
WYE
S-1ZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH w
*Norz,= a1
X 6 X 8Pc PVe (o o'
St'
So? 5 s S02 z(a
•„ ope+ Horz=T tal
NOTES:
Drop
/ �•35
5.33 + /Z.G7 = /6-0'
CLEAAJouT
1
Depth of Cleanout ( •o CFlow Line �..`.....,_,_,...
Cleanout /y I From % MA 1*A1
Layed @ Af'TEIL 0/2-r
• Mo Basement Service
o+B�.S,
MH
MH' 3 //
Amounts pertaining to work completed this period, reviewed and approved.
B Y �5- -..
WCSU Inspcfctor Contractors Rep.
. , II r ,
_I.
„ ... �AWA
-
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S _
Property Address: 41r-�� S' '"oet 119 ” ► t (Qele M 11 br,
MH 305 to MH 311 Dwg. #601-056
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.
8'1 SAN
0
I I
I I
FH.
8' SA M2
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: F , '�i > � /! • /'// i/✓ri�/.Q�-' _ __.. _
/Owner (Print)
Owner s Signature
Attest: -4k.
Wash Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
cn�
ii
0
11
I
SII
til
W M
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: F , '�i > � /! • /'// i/✓ri�/.Q�-' _ __.. _
/Owner (Print)
Owner s Signature
Attest: -4k.
Wash Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
rim (/'0)e.
Plans all for lateral to bs
WASHINGTON COUNTY SANITARY DISTRICT
t! 11 --
-7 fT
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
Signed
Froper y Owner
Date /c, ,
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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,rinc. !.
Approved by W.C.S.D. Inspec
Date