HomeMy WebLinkAboutLat_13906VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT NO.
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM 12 ftU SUBDISTRICT
�y�Q Q
Permission is hereby given to: r! 11V It
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
(y) 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 (� G
Final Inspection Made BY: 1 (L i.ua-w� Date —9 -
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:
DISTRIBUTION: Permitt
Plumbing Boa
Field Offi
Date
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: L) (o aP 01
MH 308 to MH 309 Dwg. #601-040
Place an 'X' in the sketch below to indicate where the property
owner wants the service connecti n (1 to enter the
property. Place a wooden stake e group at that location.
E
811 SAN.
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:
SAd P0RD lei. NAM#
Owner (Print)
Owner's Signature
Attest:e a 1,U
-Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
17)14
Plans -all for lateral to be
WASHINGTON COUNTY SANITARY DISTRICT
01ly1 "U"
West Washington Street, Hagerstown, Maryland 21740 a (301) 791-3083
3
0-1-33
FAIN
I)RAIAI SIAM kFn o -VAP /4T'
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
FPr� A—r rA To �3 F FOUR F- ._.._ FSET F1_6
a Can [ Fva-L
Address—
Signed_Z�4�
Property Owner
Date Li % 3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewer:
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
abc,ve conditions at no change in contract price at the following .
location:
'quested b-% Callas Contractors, Inc.
?proved by W.C.S.D. Inspector
WASHINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, ISD.
Project: __Maugansville/Orchard Hills
sny5_1_
I
SANITARY SEWER LATER";?
CONSTRUCTION RECORD
)3R0U Vf `acf rn�
Street (or location) : -0 °1 N- IV0e-TI-f Sr2EE_T ( Cep= 1Z ro
Contractor: Callas Contractors, Inc._
ISH 308 TO ISH 309
Date Installed /Z-)-83 Wye Ste. On Bain Zfo(4.S L.
WYE
'SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
9X 6X B
�" QYc
Stf
*Hort.= To
_2
�Jr
y 7�
a
soQ 3s
SO2 (10
ope+ Harz=Total
NOTES.
Drop
�0.10
//•o5•f9.�S = Zo•2o
Depth of Cleanout 7( ^Flcu Line
Cleanout /y.8-5• From %
Layed 0 TE2 O/Lop
A/0 Basement Service
Z-fo(o. S L
MH;-i'3,s 8
I-
-41
MH# 3 o 11
Amounts pertaining to work completed this period�,/ reviewed and approved.
B Y % i' • `r1 1- .LLQ' ,
WCSU InapC4ctor +' Contractors Rep.-'