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HomeMy WebLinkAboutLat_13820VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT 33!V. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM Permission is hereby given to: — I �r320 For Property Located at: Owned by: Address: Type of Connection: To Service Connection Type of Service: Residential Commercial _ Meter Size Connection Fee To Main Line:— Units Other Industrial Date Paid PERMIT NO. DATE SUBDISTRICT 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 -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 Permit Fee Final Inspection Made BY: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 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 Hagerstown, Maryland 21740 Final Inspection Made By: DISTRIBUTION: Permitt Plumbing Board Field Offi Date IVIASHINGTON COUNTY SANITAPM� DISTRICT UASHINGTON COUNTY, MD. Project: Mauaansvilie hard Hills SD15-1- SANITARY SEW.�.R L, TER'' L CONSTRUCTION RECORD 13$ 0 \A L l ct cv Street (or location) : //3 itJ„ �Tt� ST GAL / 1(y Contractor: Callas Contractors Inc.+ MH 30j' TO MH 30-7 Date Installed Qr /� i9fi�' �Wye Sta. On Main ©± Z....K . WYE SIZE F SIZE— TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYING LENGTH ._ 6' Puc7 PSC. / *Horz.= Total a'.86 Std. /. qO LF" /7.13 Lr Sp2 Z� ope em + 'no rz=T Drop L:�---- NOTES: T -HE cLtA,)eu WAS P L A C F_ b )A-) s, n �- N = ...,_., _._-- FEnJc r w B Depth of Cleanout 5 fflow Line Cleanout IS s'8 From pF' TF/E mq,Al Layed @, bQ iJKN� fir,: Basement Service 1� n 'l S"rA11�­ 0f6Z'5' Lr MH':r 30S` MH# 3p 7 Amounts pertaining to work completed this period, reviewed and approved. BY &,� WCSU Inspec;.or ontractors Rep. T Property Address: Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S 113 N--N-^—rt-t, Street i3S&-D Vi<<Gofe--- Dwg. #601-039 Place an 'X' in the sketch below to i ade xa ere the property owner wants the service connection (1 ) o enter the property. Place a wooden sta t ou at that location. Z I 00 0 ►7 116 (11 I I�\ (113) �\ L— (MAC) M a> DMH SD15-3 IT l II I X I' 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: 1 22 16L7,ZM ') L N E e / Owner (Print) w � ner �si�-gnaE`ure Attest: s . Co. Sanitary istrict (Form WCSC-1) Replaces Form WCSC-56 M /16 (/ 3) / 0gjh Sz-. Pla ns Ca// Aaz fezo be WASHINGTON COUNTY SANITARY DISTRICT F7, 11 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: �r Address_// ---5j ),"'Z'14 r,` Signed a) 'L Property Owner Date 3 7 I8,-2, 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.. ' `�e�- IF �1 - x"17/ el Approved by W.C.S.D. Insspec Date _3 � G 9