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HomeMy WebLinkAboutLat_13830VillageMillDriveWASHINGTON COUNTY SANT i:ARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 Y P.O. Box 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWi�;TER SYSTEM Permission is hereby given to: For Property Located at: I z 7 N 0 r t tr Owned by: j) #1 Ebersole Type of Connection: To Service Connection Type of Service: Residential ^ Commercial Meter Size (301) 191-wkwjud PERMIT NO. DATE SUBDISTRICT No. 15 Ticsarlsviile/Orchard 1 1 Hills 1 tOr I i puree -c, l-idu(drtFvil'Aryiawj 21767 Address: ' J )o., 79, Aieu,ansvi'lle, IAA 2175 To Main Line: Units Other Industrial Connection Fee -3 J' •'-" 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 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. L Secretary -Treasurer Building Permit No. a 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 Spector 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 Office !'ASHINGTON COUNTY SANITAP"*i4STRICT UASHINGTON COUNTY, X10. Project: Maugansv e/Orchard Hills Street (or location): 12 7 �f ST D1 5-1-5 1-g3o vo SANITARY SEINER CONSTRUCTION RECORD Contractor: Callas Contractors Inc, ` MH '3o-7 TO ISH 3OB Date Installed Oc,:[ Iq 1483 Wye Sta, On Main 0+09 Lt -w-"' WYE SIZE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL. EXCAV. LENGTH LAYINIG LENGTH $ x 6 n PUC CAsT , *Horz�Total , 1 St'd. 5,p2 Z� TRors *S ope+ Horz=Total Drop i NOTES: 17,70 5, 33 +- /2 - C' C' 13.6s Depth of Cleanout &,7t `Sf loin Line Cleanout 13,6-4-1 From of o i- M A i a` N� Layed @ 2.5 AF -T, -1Z )5*OP .. A)c2 Basement Service ofio4 0 - MH _t'MH'' 307 Amounts pertaining to work completed 8 Y %d,�c.�„__._� a WCSD Inapecuor MH# 3og this period, reviewed and approved. Contractors Rep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 Contract No. SD15-1 S Property Address: et X3$30 V r la -e& I br"to 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. El L-- 120 1 14I 0 �) (127) (1C31j- C ) I (I ) 63 L i 10 qfl ��- — — R/w 8" SA DMH SQ15 3 7 (Mac) 8 W I lie R / W F1 I i ( ) tf V 1 ) t (;V9 ) C -)I1 X 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. p - ,p Date: i in, M. 1�j L f- (Z5 Owner (Print) e z .4 caner s igna Attest: Was o. Sanitary Dis riot (Form WCSC-1) Replaces Form WCSC-56 F©r 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: Address Signed .��' Property Owner Date f' — mss' — a!-� 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: