HomeMy WebLinkAboutLat_13841VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
DATE
SUBDISTRICT 'TQ�s. i z'
PERMIT TO CONNECT TO PUBLIC SEWERAGEMAIEB SYSTEM Q - ?_a
Permission is hereby given to: Mary C.—Marti
I3y41
For Property Located at: 138 North Worth 5i;roet, gailyIfIS_VIIle, _Har, aiiU
Owned by: Mayy C.
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Address: p.DP r"ox 136, Maugansvi l'le, MD 21767
To Main Line:
( ) Units Other
Industrial
Meter Size Connection Fee $620 uu _ Date Paid ;�/g/,
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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _ Date v
Plumbin spector
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 Board
Field Office
IASHINGTON COUNTY SANITARY'`STRICT
UASHINGTON COUNTY, MD.
Project: Maugansville/Orchard Hills
D1 S -'1-S
SANITARY SEWER LATER,',;-
CONSTRUCTION
rTE,'•?CONSTRUCTION RECORD
(3841 V1,11 1 -e YI'l► 11 1�r.
Street (or location) : /38 &g= /5z
Contractor: Callas Contractors, Inc.
Date Installed //-30-83
MH 3o7 7O MH 308 ✓
Wye Sta. On Main Z,+ 80 E ✓
WYE
iSIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
SD2 35
SA2 Z�
PYc
/b.66
St'd.
30.20
*Harz.- Total.
Z7. 63
VS ope + Ho -Total
NOTES:
Dro
wA 7�2
90
/Z•'7o C LEAAvuu T
Depth of Cleanout /O -G(* !- Flow Line > ..�.._ ....,�
Cleanout Z S. Mo* From
Layed @ Z
)�ES Basement Service
Z f- 86
MH;' 3 0 7
MHhr' 3 o g
Amounts pertaining to work completed this period, reviewed and approved.
BY
WCSU Insp mor /Contilactors Rep.
0 ,,.,, ,,,.,,a C. w .
Washington County Sanitary District
Pol SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract `N�o. SD15-1S
Property Address:
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.
o , ( 124 f 125 1
LOA
3i
(x)
DMH SD 15 — 308 39"
B., w 8��_ SAN. _ —
_ T B. M.23
1
1.91 152 j� 151
K4) (I ) �j (2
-co
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: �� % 8 Z G. f
Owner(Print)
Owners Signature
Attest: - /�1-c�r� 733— q 407/
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
nA
3a 7- 30k IS.2 (/36)
Plans _ill for lateral to tie /a FT '
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740• (301) 791-3083
/
�dQ - ����S3
pt'-'tD6 �� � �o /)),A x ,Q P" 14�
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
�kddress
,zligned o
operty Owner
mate
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, Inc.
Approved,by W.C.S.D. Inspec r
Date