HomeMy WebLinkAboutLat_13822VillageMillDrive. IiNGTON COUNTY SANITARY DISTRICT PERMIT NO.
dOX571INGTONSTREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: 13��
For Property Located at: I ;
Owned by: Donald C. Smith Address: .1115A.Porth .Street, Box 211. jaug A_cN
MD 1 21767
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/WAt;n: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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No
rrd F:J ry
Secretary -Treasurer` _
I i
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
Plumbi 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:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
IJASHINGTON COUNTY SANITA DISTRICT
WASHINGTON COUNTY, M0.
Project: Maugansville/Orche
Street �`
(or location):
Hills
iD15-1-5
13g":t `/'1'
SANITARY SEWER LATE,:-.
CONSTRUCTION ZECORIC,
t ,lM I' l (
Contractor: CallasContractors, Inc.
MH 3o -i- TO MH
Date Installer' Wye Sta. On Main f432,_,6 ✓
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH_
LAYING: �
LENGTH
gJC
G PVC
PUS
*Horz.= Tai
6
X8
SOR z�
, C
y.3
Std,
5 ope + Horz Tota
NOTES:
Drop
1 7.8� t r
s.. 33
/ :z•
C/o
Depth of Cleanout `1.3 G ` Flow Line
Cleanout 12, So From 4t of MAiA) 1 rN
Layed @ 7
VEs Basement Service
w
t►
1+
MHI 305
3Z LT
MHS 307
Amounts pertaining to work completed this period, reviewed and approved.
8Y Q
4Z4Z2�� -
WCSU Inspectior C orft factors
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: P
ge t'YI11 Dr��p
MH 305 to MH 307 Dwg. #601-039
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.
H
4X
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� Z 2 - 8 L �. �� S/�i I-Th
Owner (Print)
Owner s Signature
Attest: �-
Was o. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
a \
30
WASHINGTON COUNTY SANITARY DISTRICT
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:
0
Date Z't3
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. Inspec
Date /0/zy f§3
n
�0
'�► 3�' /Ok ns ca il FOR
WASHINGTON COUNTY SANITARY DISTRICT F
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:
Address,��,tiy�i
.Signed
Property Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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. Inspecor N) C -k
Date __ A'3