HomeMy WebLinkAboutLat_13829VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 13084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: _ ----- ______ _--- /3
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 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 SFscifications.
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: �. Q A� 4�./ Date
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: Permitte
Plumbing Board
Field Offi
Date
WASHINGTON COUNTY SANITAR STRic'I•
WASHINGTON COUNTY, ISD.
SANITARY SEWER LATE"-
CONSTRUCTION RECO
Project: Maugansville/'Orchard Hillsf S015--1--5_____
-3V15C V (a2 YYIi l I Qt.
Street (or location): /Zro 111, n/aKTI{ STACE-r CSA /57� /3gaC�
Contractor: Callas Contractors. Inc
Date Installed - /'i- 8 3
MH 307 �TO MH 308 /
Wye Sta. Oil Main a+/z.5 P- ✓
WYE
S-IZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING v -
LENGTH
8X6Xg-•�,VC
Cls%
St'
�Horz.- To• .�
S Z8
Spy 35
Si?R -z (a
`Q0As
lope+ Horz-Total
NOTES:
Drop
Z� 85
s So + ZI.2S = Z6.75
$ wATEQ
M At.A4 C c.r,9dou r
0
ys I C �Fae,a,ueC
8 MAi* y5° (3Earos
Depth of Cleanout S• Z6 • `f lour Line
Cleanout ZZ -8S' From Z m4iAJ ......_. w,. �.
L ayed @ ( - S 9f7 -EOL pe.p
NO Basement Service
04/z• 5 e
MH ,"'' 30 7 N
N
co
kA
MHr,L- 3o$
Amounts pertaining to work completed this period, reviewed and approved.
BY
LIC SL)� ns ;Lec tor Contractors Rep.
AMA
` Washin�,..on County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 1 t C V< < aoyf- Mi 1 1
MH 307 to MH 308 '.Dwg. #601-040
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.
c_]
r
t
8" St
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: /c)— `' /4y,
_
Owner Print
Owner s 15ign9ture
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
hot
ASHINGTON_ COUNTY SANITARY DISTRICT
33 West Warsf'ington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
ii
To: Callas Contractors, Inc.
- I hereby request the contractor to install the lateral in
accordance with the following conditions:
.Address / (o w coiNSutC��
signed
Property Owner
—Date 9 ' �-
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