HomeMy WebLinkAboutLat_13912VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER 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
12.
To Main Line:_
Units Other
Industrial
,— Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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: �'A ` , , --- Date �_ 1 — �—_
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 Boa
Field Offi
�ow.., P/0
' Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
`� `� � TT r. r t h c +- ---
Property Address: eet (3Rt/�- V, j(Q!?j e t' ,r.
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.
a _
LL
O
126 orNY
�T
125II 1 ) 127 `� � 1 x
( (2231
I
11 ) I ��
— — cR / W �r
36'R/W 8" SAN. MH SD157309 8°SAN.
R/W —
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: 9�Z/�gZ , ��%��/✓ _
Owner (Print) -!
Owner's Signature
Attest:
Wash. Co. anitary District
(Form WCSC-1)
Replaces Form WCSC-56
6WNER
C'o MTi9 cTEO AT M K4 C
'.:'nSHINGTON COUNTY SANITA ,DISTRICT
UASHINGTON COUNTY, ISD.
SANITARY SEWER LATEF..i;:
CONSTRUCTION RECORD
Project: MaugansvilleZOrcherd Hills SD15-1-5
Street (or location) : 23 N . 1Jo2 rN ST
-L-7
Contractor: Callas Contractors, Inc,
MH 3o8 TO ISH 30;
Date Installed_OCT Wye Sta. On Main
WYE SIZE- TYPE DEPTH TYPE EXCAV. LAYING
SIZE TYPE PIPEI C.O. C.O. LATERAL LENGTH LENGTH
8x Eur "PU•( Pvc. *Horz.= Total
G;,3-7 Vi: St'd.
IWIblOpe+ Horz=1ota
Drop + IS,�y
NOTES: Z'% y0 L F -
O3 LF
i
CP.
= �_....��..
Depth of Cleanout_ 6 , 3 t SFlow Line
Cleanout p, 5 From C OF MA Iti Li AI E �s.... w�....�
Layed 0
_4A)KA3o62N Basement Service
M H,," 30 8
0
S T'A
2 1 33. J- H1H# 30 9
Amounts pertaining to work completed this period, reviewed and approved.
8 Y A"d . Q .8 p .,9-r�,o G?l
WCSO Inspector �� C6ntractorse .
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