HomeMy WebLinkAboutLat_13834VillageMillDrive{ WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
(301) 791-3083/3084
PERMIT NO
DATE
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 SF2cifications.
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: � _ % 1) t cN, C.-%_A.A9e%J _ Date p 1 O
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
Field Offic
S�UBDI TRICT
t
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 SF2cifications.
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: � _ % 1) t cN, C.-%_A.A9e%J _ Date p 1 O
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
Field Offic
WASHINGTON COUNTY SANIT ISTRICT /iAq% SANITARY SEWER LATERi'.L
UASHINGTON COUNTY, SID. CONSTRUCTION RECORD
Project: Blau ansville Orchard Hills SD15-1-S
13Y-N770v-je YY1� 11 r.
Street (or location): /Z�. N No27H S % EET �p� /LI
Contractor: Callas Contractors Inc.
MH 307 TO MH 308
Date Installed //-y- 63 Wye Ste. On Main /4-/Z.1 z -V
WYE SIZE-- TYPE DEPTH TYPE EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
8X G x t3 & " PyePvc st3 *Horz.= T
y.s�
SDR 35-Sp2 Z(o 1
11biope+ Horz-Total
NOTES: Drop /,7. 3 s
783'f /0-1'z/8-73'
g Mq�N � � YS� i3ENo s
:gMouT
Depth of Cleanout Y- 51 • r,Flcw Line
Cleanout /3.L' • From J- M q,N'-
Layed @ ( i f r6v- Dp-.(7
N0 Basement Service
w'
/f/Z • I i.
MH r 307 M # 308
Amounts pnertaining to work completed this period, reviewed and approved.
E) Y - !�I� / -
WCSU Insp ctor ont actors Rep.
P
Maj. '�Aem
Rfttrawc w
r
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
Property Address:
t � ��ae ill 'I I �ar,
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.
100
A�
0
" T
K" 6LOM
UXtUt,
fhv*+►Y
05MIJ1
PAMX.0
.MAY esML
= a k% F&-ir
%bF AW
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: 11 14 (.0
Owner (Print)
Owner's Signature
Attest:
sh. Co. Sanitar District
(Form WCSC-1)
Replaces Form WCSC-56
QQ
Cali
WASHINGTON COUNTY SANITARY DISTRICT Id lc��!
• II
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:
G
Address y /✓/oli�G� cS�4"
Signed � �c c �� (,A�'
Property Owner
Date 2�LL4,40
-T,
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, IAnc.
Approved by W.C.S.D.---x- ll I � I Insp or
Date