HomeMy WebLinkAboutLat_13916VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301)791-30831 3084
P.O. BOX 571 - a DATE 0— 11 —84
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEtTE_SYSTEM
1 pile/Orchard
Permission is hereby given to: Leroy Rankin 1�'W Hills
For Property Located at: 227 North North St.. Maugansvills Md 21767
P.O,- BOX 52
Owned by: Leroy T2anki]hn Address: 227 North North US .. Mauganayi_l l e, Id 21767
Type of Connection: To Service Connection x To Main Line:
Type of Service: Residential X Units Other
Commercial Industrial
Meter Size
Connection Fee 4620.00 Date Paid 9-11--64
To connect to a public seweragelvtati�,r 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 i°� 1�
e
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
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
1 0 . � I f ) & A,4 41�:K Date 21 ` ,g 7
Plumb(ng 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee I Plumbing Board `}
1
Field Office
Date
W
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: nT rth c}tet 1'3910 Vrj'aGe l r 1,
MH 309 to MH 310 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.
MH SD15-310
_ —C
, ' NOUR
pr- Mousr
1� I 'A' I )"N I _ - - i i Lur
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: %%/Y. �-� /Q92—
Owner(Print)
Owner's Signature
Attest: g,
Was o. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITAPN�, DISTRICT / SANITARY SEWER LATER)',
UASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project:_ Maugansville/Orchard Hills_ _-SD15-1-S_
N y -- 13`il(� V1 ,110 -f r)1(II 1 t r
Street (or location) : Z 2 7 tiG 2'Trl si Ci,g Z 130
Contractor: Callas Contractors, Inc.
Date Installer' Ce, -r z�r. IS83
MH 3o 7 TO MH 3 10
Wye Sta. Ori Main /+ /-7- 6- Lf�✓
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
PVC
*Horz.= Total
Pv.c
g,Z�1 VF
St'd.
s D 2 z�
'20-6-0
1 •7, St3 L F
ope + Horz=T
NOTES:
Drop
1-6*, 5&4
;115Tv
Depth of Cleanout E3, Z QFlau Line
Cleanout From
Layed @ 5
140 Kn>ou)n,1 Basement Service
(SIH;;'- -70 g
Amounts pertaining to work completed
By J_Q )1 z
WCSO Inapector
STi�J :t
s'LT
MH# 3 /0
this period, reviewed and approved.
Contractoep.