HomeMy WebLinkAboutLat_13900VillageMillDriveWASHINGTON 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
SUBDISTRICT
• ;. 10/CJs el, Aa."
Ile
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 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: ,X C�d�.i.b v Date
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 Bo
Field Offi
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15tA
13°�O'0 r `' alUV ract No. SDI 5-1S
Property Address: 21 ee j4 V1, � �� �;� \ �r; fR
MH 308 to MH 309 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.
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:
Owner (Print)
Owner is Sigature
Attest: n
a Co. anit y District
(Form WCSC-1)
Replaces Form WCSC-56
uASHINGTON COUNTY SANITAR`#"1ISTRICT
WASHINGTON COUNTY, MD.
Project: Maugansville/'Orchard Hills
Street (or location) : Z// n/, Alok
SANITARY SEUER LATE;?
CONSTRUCTION RECOc;O
SD15-1-5
13g0� t�1 aiWl l t rt',e'
TQLET iCapz /ZN
Contractor: Callas Contractors, Inc,
MH 308 _TO MH 30
Date Installed /Z- 7- e33 WYE, Ste. Oil Main o-Fyz• S ��
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAV.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
80 X •.
V, pvc
�
*Horz.= T ._
Pvc
� . °� g
St .
sDR 35
SO& z ca
ope+ Horz=Total
NOTES:
Drop
ZJ• 80
8"Mq��
zW;p�
SToNe wACI
4/
C LEAAJ ou T
Depth of Cleanout (0.98 ' C'Floul Line
Cleanout /7. 6o' From'---
Layed @ S A9�7'FEa DQop
&6 Basement Service
ofyz.5t
SIH„` 3o e
MH# 35a9
Amounts pertaining to work completed this period, reviewed and approved.
WCSU InaP66czor Contractors Rep. '�
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