HomeMy WebLinkAboutLat_13823VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: I
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-308313084
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: — _ _— Date 9-1-947
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: _ _ Date
DISTRIBUTION: Permittee Plumbing Board
Fiel
Offic
z
JASHINGTON COUNTY SANITA' DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LA T E --:r'
CONSTRUCTION RECORD
Project:
Maunansville/Orchard Hills
SD15-1-5
DEPTH
C.O.
Street or
location 118 r\A)o2TH ST
I3gI3
U" I1'Z9-e
Contractor: Callas Contractors, Inc. ;;,err,., 2M„h_y
Date Installed Gc-r 1 o . 1,i_133
MH 30 3' TO MH :307 ✓
Wye ata, On Main)
�a..r _0 P+, �
WYE
S-IZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATER
EXCA'.
LENGTH
L YING
LENGTH
8x 6x
6 � AVC
t/C
Horz,- Tota -
8
6.67-
Std.
5DR zG
ope + Horz=Total
NOTES:
Drop
u' (o6 t 2 0.6 7 -
2 cl. `7 0 L t=
25.33 Lt=
Depth of Cleanout_ 6-6r- ' 'f l.cw Line
Cleanout zy_(,y From CIL o f 11,9 7- N L i N E
Layed 0 3 0
uNK►Jo,oj4 Basement Service
1-t65
MH'3os
MH# 3 0 7
Amounts pertaining to Work completed this period, reviewed and approved.
8Y kg,,O
WCSU In3pec 4or
C.onactors Rep.
MIM - Amok
t` me� L ov► u M� t uA,�rz
C'M hw4c
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property
Address:
t r e e t 13$`1.3 VI k ctt fn,
I t Q+-, �—
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.
111 Qj
119
1 (115) ( 19)
x
I gx
8 _SAN e" w QMH SD15 3 7_
R/W n r
' I
160 Ii (I 5 _T
X (118) I
Et
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: It /44t, C j•uM J,e.
Owner (Print
Owner Signature
Attest:%ew 44A
As Co. Sanila District
ty
(Form WCSC-1)
Replaces Form WCSC-56
o C/'/8) A'�4 St
°.•' Pla ns C4, /1 Foe
Z-atP,eu i be
WASHINGTON COUNTY SANITARY DISTRICT g�
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.. ' `E, .
Address ,/J4 #4/14-77f.
Signed' ► f ; r
Property Owner
Date
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. Inspector
Date