HomeMy WebLinkAboutLat_13833VillageMillDrivedVASHINGTON
COUNTY SANITARY
DISTRICT
PERMIT NO.
33 W. WASHINGTON STREET
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
DATE
DISTRICT iti0.
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WZMR SYSTEM
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Permission is hereby given to:
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$3 3
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For Property_ Located at:
'12,3 yi u r, L tl North Street _
Owned by: -Earl P R-apr Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee $620.t)u Date Paid
To connect to a public sewerage/ 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.
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i1.4 -
Secretary -Treasure
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: 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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
SHINGTON COUNTY SANITARY SANITARY SEWER LATER,"i
IJASHINGTON COUNTY, (YID, CONSTRUCTION RECORD
Project: Maugansville/Orcherd Hills S015 -1-S
Street (or location): /Z g N. No,eTN sToF"�r / �pz /5(�
Contractor: Calles Contractors Inc.
MH 30'7 TO MH 30�
Date Installec'� /-/6 - $3 - Wye Ste, On Main__.pjEqz..5
WYE SIZE- TYPE DEPTF
SIZE TYPE P1PE C.O. C.D.
SDA 3 S SaQ Zoo
NOTES:
l Ypt. EXCAU.
ATERAL LENGTH
St'j:
Drop
8 •• wATta
t -
-09-1MA/N
I
t
S C t fi'` x'9.vC E
_ LENGTH
;7Harz.= 1
elope+ Horz=Total
8NMAjl-q 13EN05
Depth of Cleanout 5.111ine
Cleanout •?/• 6o " from � MA"N - - -- �-�
Layed Q 7 .9fraA ,o"een
�llR Basement Service
M H;i, 3 0'7 )v
6�
0
H1H,-;'
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSb n ecb
�tor yl"tractora Rep_._,�.,. .._.,.._
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Ca w,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 1��8 North StreP�—, �-3�33 V � f naq ! M I br.
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.
15
K
SauTH
W 09TFC
M e rEk
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: //-ZZ-8-2
Attest:
F) 8AJfEZ
Owner rant
Owners ignature
Was o. Sanita District
(Form WCSC-1)
Replaces Form WCSC-56
l
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: //-ZZ-8-2
Attest:
F) 8AJfEZ
Owner rant
Owners ignature
Was o. Sanita District
(Form WCSC-1)
Replaces Form WCSC-56
X67.&►
r1k WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740• (301) 7,91.3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ -k.
Signed -
Property Owner
Date_ // -/
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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
Approved by W.C.S.D. Inspe 1
Date / t I I I C�) " �"