HomeMy WebLinkAboutLat_13840VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
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:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
(301) 791-3083/3084 DATE
To Main Line:
Units Other
Industrial
Date Paid
SUBDISTRICT
1' < < ''.
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.
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: �� !, Date k,
lumbing 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 SANITAR ISTRICTSANITARY SEWER LATER';
WASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project:_ Maugansville/Orchard Hills_ SD15--1-5
a
Street (or location): 13 y �• ,�oQ-�,{ s.,..Q13'6yo til'(l
Z3 �e
Contractor: Callas Contractors Inc.
MH 3o-7 TO MH 308
Date Installed_ II_ lo Wye Wye Ste. On Main Z+53�, �✓
wrz
SIZE
314C—
TYPE PIPE
ITPL
C.O.
ULPIN
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
8••x 4 ••
�.. PJC.
*Horz.= Tota
%. So V.F
Std.
SO2 3S
S02 Z6
ope+ Holz=To�ta1
Drop
NOTES: C.o
14. So L.F.
1t-33 + 3
}
4s' Jr"o
Depth of Cleanout b, so g.c. ,Elcw Line
Cleanout ti.00 from t seicA
Layed 2. �o q Aar 'b/Lop
'ris, Basement Service
C.O.
MHm 3-9
Amounts pertaining to work completed thin period, reviewed and approved.
BY WC. 'i— - 'id
WCSU Inspector on r ors Rep,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: j ,�'q(�
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.
/dNOK41
o1A EV,-,F-
OF
OGbF ST FPS
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 p<'n��-
��Owner (Print)
Owner s Signature
Attest: �•
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
i 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
c,Z)ct,9s
To: r Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ 13-7 N. o rF( 5-r
Signed
_L�L t-2 C -Z,? 0 LL
per/Owner
Date Oc
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:
C-,9 L L i� S
Requested by kid Contractors, Inc.�
Approved by W.C.S.D. Inspector
Date