HomeMy WebLinkAboutLat_13835VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
3.YW, WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/ SYSTEM
Permission is hereby giv(
For Property Located at:
Owned by: W i 1 1 i am _.
PERMIT NO.
DATE
SUBDISTRICT 140 1
illi :Orehard
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
) Units Other
Industrial
Connection Fee _ 621) OU — Date Paid
To connect to a public seweragersystem (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.
P61 - 0 . D 'x��
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: %—A� 1 t n Date 1 ii
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board 4
Field Office 1
Date
WASHINGTON COUNTY SANITARSTRICT
UASHINGTON COUPJTY, MD.
Project: Mauaans
Street (or location):
Orchard Hill
SANITARY SEWER LA i E
CONSTRUCTION RECORkD
S01 5 -1 -
1383 Uitlagetf pr,
ST,e6ET -- A? 5r J_
Contractor: Callas Contractors tnc. - -o"
MH '30'7—TO (�H 308 L,/
Date Installed Wye Ste. On Pain /f 3..5 2
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYII{G
LENGTI{
�'Horz.= T al
8X 6"X 8••
�Quo
cgsT
St
S• /8
Sr ->Q 3 S
Sna zco
=20�!
S ope+ Hort=Total
NOTES:
Drop
Z s' 75
g"Mq,N
8' WA7Grz
Mp�� c Lc:s��tou
7 S° 13F'Va-%
�• s CLEA24Aic,
Depth of Cleanout 5• /8 . Sf lcLl Line
Cleanout ?Z-/0' From �- AA,474
Layed C q;-rEp- opop
No Basement Service
MH ` 307
N
N
0
MHS 3og
Amounts
pertaining to work completed this period, reviewed and approved.
9Y (`�WCSD 1 n--- .�i4or Contractors Rep.
t r -
AW
Property Address
MH 307 to MH 308
-0%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
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 lt:�=atee the ground at that location.
i
g'_ S� I4Cvwy
r — �lo�c7,4 t r�
154 153 15 4f ,�SF
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: //-- Z z -A L
•
- - - -- V
Owner s Signature
Attest:
Wash. Xo. Sanit y District
(Form WCSC-1)
Replaces Form WCSC-56
,�•. WASHINGTON
-3a 7 - 314 /s-5- NO2th S-1
P/00S C41 For
Gni fe r C4 0
COUNTY SANITARY DISTRICT
ill
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
/o /�Z/
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address,)
Signed
Fropeifty Owner
Date CP
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
Approved
Date
Contractors