HomeMy WebLinkAboutLat_13819VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: rlfc� 1 e fl i U ; ihi V
For Property Located at: 1 1 2 'N. North Str
Owned by: '-IN l e n I u! 8 Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
1 3 8 t Ct Nj_V
PERMIT NO. _ 43,
DATE 91 Z4 86'
SUBDISTRICT
,��'
14augausva a/Urc and
Hills
112 d North Street,�Maugaansville 0 2'
To Main Line:
1 Units Other
Industrial
Meter Size __ _ Connection Fee Date Paid `,-G4-d4
To connect to a public seweragely aWt 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.
• 0 a,4��
_____Pa Oh -no&.- 0 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 S
Final Inspection Made BY: ��7 l�L�-7z'✓ Date 9 "2 bG ' b p
y
Plumbing Inspector
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 Plumbing Board
Field Offi
James and Joy Ebersole
POBox 79
Maugansville, MD 21767
301-790-2460
June 3, 2014
Washington County Water Quality
Attention: Julie Pippel
Account Number: 5957018
Customer Number: 28434
Location:
13819 Village Mill Drive
Maugansville, MD 21767
We are being charged for 2 sewer connects and only 1 is used.
We are giving up allocation for the garage.
Thank you,
Joy Ebersole
RECEIVED
JUN 0 5 2014
WASHINGTQI\
DIVISION OF F_r
ASHINGTON COUNTY SANITA kDISTRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATE-Rt"L
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
13319 Vi I lace m►
Street (or location): / 1 Z 1J01"—'1-4 T SC�I,IZ J 1
Contractor: Callas Contractors Inc,
Date Installed D, *L
MH 3o S- TO MH 36Z_
Wye Sta. On Plain
WYE
S77E
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
8x& x 8
6 PUC
PUC
`
-
a Total
Horz,-
5 S I
St1d,
17wope + Horz=To 1
Drop
NOTES:
i
i2 �5 � 8•�s �
5EwtK
clo
Depth of Cleanout S, $ I CFlow line
Cleanout 2 1. 6 0 ' From C 07 MA "N
L a y e d @___3
a N� Basement Service
,+ P,2.SR
MH ' 306-
, +
os
Amounts pertaining �t{o� work completed
WCSO Inapector
MH;# 3o 7
this period, reviewed and approved.
Contractors Rep,
OO.
0
c/w
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1 S _
Property Address:
12 Ner-th St et ,� q �V/�`l ao,e VYl I I�r(`yF
MH 305 to MH 309 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.
0
0
N
ray �
1611
(1 12) - Al I I
MH SD15-306 36 RAW (MAC.)
— — R/W
1 1 II II
W o �I
W v
o
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. I�Ei A/JUlN��
Date: 3 g 3 �-J�_ �.1�/-�--�'��(J�/
vlal • a 4,6' 61&ner (Print)
I6hl-Attest: . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
is Signature