HomeMy WebLinkAboutLat_13837VillageMillDriveWASHINGTON
-13 lt. IJASHINGTON STREET
< P.O. BOX 571
COUNTY SAi ?Y DISTRICT
HAGERSTOWN,MARYLAND 21t4i-0o (301T791-3083/3084
PERMIT TO CONNECT TO PUBLICS EWE RAG E/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by: C h a r l e s � iR OTA r Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
� 383
9 Rox 26 a -
To Main Line:
Units Other
Industrial
PERMIT NO. 33f)
DATE 10 -*5- 34
SUBDISTRICT No. 15
MauganavilliC rehard
uiIIs
Connection Fee $620. 1U Date Paid 10 -25 -
To connect to a public sewerage/4ic'km 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.
CA, -94VIPA
Secretary -Treasurer
Building Permit No. _ ► '�d
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
Plumbing Insp for
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 Boa
Field Office
WASHINGTON COUNTY SANITARONNSTRICT
WASHINGTON COUNTY, MD.
Project: Maugansville/Orchord Hills
Street (or location): /'51/ Al, NOR
Contractor:_C_alles Contractors. Inc.
Date Installed //--/8- 8-5
S
5015-1-
13
SANITARY SEWED; LATE--'f'L
CONSTRUCTION RECORD`
51 V(' UCL OK-- i l ,r.
C,�►i rsy)
MH
307
TO MH
308
Wye
Ste,
On Main
L-
pYc
WYE
SIdE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYI(,u
LE ft101 I
gX X B••
pYc
*Harz.- T
Pvc
St
So.e 35
SOQ Zte
i W ImlL�LtR ..i.G.fi:alYl1M;
S ope+ Horz-Total
NOTES:
Drop
30.6'1 .09.os
+ 20.75 . ,
` z 9. 8a
8 A44)N
8 WATC/L
-1\4,q N
415' 13F-wo S
Depth of Cleanout 5.7) ' ^f I ; Line
Cleanout Zs. 70' From � Mg;ti
Layed �� Z 09;TE2 a2ap
No Basement Service
t CE.4J4cxa j
/. Z C 4L19kgNce
/i 8�, z
0
307 MH 1' 30 8
v
0
Amounts pertaining to work completed this period, reviewed and approved.
WCSU Inwpe<'-tor Contractors Rep.
CAowm& Yaks 1 u, GNIQ111 14W1��►Fsut C�AMr�C
AMO wt Fitt e0o Q 6# "*. ,# . a
L00% �Iqvsw %*;&a swo 4100 Washington County Sanitary District
10AU< SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 434 North St -eet-
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.
u
(
X
�1 L �o qfl
R/W -
' SA DMH D15 W _ - pow
R / W-
� � I
I i 154 15 15
X
( ) (I ) (I 1 I (134), (I )
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.
Date : { I 13 �,A�,E�s W. 13uYt 1'L
Owner (Print)
Own s Signature
Attest:
Wash. Co. San' ary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
33 West
40,
-lateral �-o 6e
COUNTY SANITARY DISTRICT
ington 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:
--------------
Addressfit_ % .Ao L� C• ;� ,S
%�
Property Owner
Date % Ss' i' �2 1
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:
Requested by Callas Contractors, Inc._
Approved by W.C.S.D. Inspec
Date
0
S �-