HomeMy WebLinkAboutLat_13920VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. `;,'
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741,,0571 (301) 791-3083/3084
P.O. BOX 571 0 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGELVULM..SYSTEM SUBDISTRICT t, O_ J �;
Maugansvi-lle /Orekard.
Ti>noth t flcjaffie2 �'� Hills
Permission is hereby given to: y
For Property Located at: 317 North Norht Street, Hauyansvilie , Ma`rylanct
Owned by: T imothy D. Mcilaine� Address: PA- BOX 176, �a�(gcLns�ille, Mi? ;11 zb `
Type of Connection: To Service Connection ^ To Main Line:
Type of Service: Residential �( �) Units Other
Commercial Industrial
Meter Size
Connection Fee.a
Date Paid
To connect to a public seweragetsystem (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
g4s3
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: � �"� Date 18 — 1,cj_ g q
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board 4
Field Offi
Date
WASHINGTON COUNTY SANITAOPkDISTRICT
WASHINGTON COUNTY, ISD.
SANITARY SEUER LATE:7,7.;
CONSTRUCTION RECGR1 C:
Project: Maugar.sville Orchard Hills SD15-1—S
Street (or location): 3 S 1390 V1 �la.c�
�J�►i rl C�A� �P 1 32
Contractor: CallasContractors, Inc.
ouT a P 31 Q,l
H 3 ► 7 e iP,Tiq Pq+ts
Date Installed Wye Ste, On Bain +o �. ✓
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
RoC
PVC
r',foro VrSt
d,
'Harz.= Tota
sAR z�
ope+ Horz-Total
NOTES:
Drop
L0,90 LF
/1.33 0. 0'4"z
L
MH310 g 33, 3a.o't
W
Cw
I
2'$TiL B
Depth of Cleanout 5 . 66' Cf lcu Line
Cleanout '46,37' from C o F M t► 3 i o
Layed 3 L
Ido Basement Service
`'35°
WijH 309
MH;� 3 10
Amounts pertaining to work completed this period, reviewed and approved.
8 Y fi��
UCSD Inapector C ntractors ep. V '—�
1411*9 Ye7bt
L*%2AL INTO 040 310 a 135°
C, w
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address : 7 nono
ME 30 M" 4 310 Dwg. #601-041
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.
44
41D
_3 I132
(317)
OX 0
CD
R / W
R/W
p MH SD15-373
F.N._ _
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 -.8 -L-
Attest: -
Attest:
Was Co Sanita y District
(Form WCSC-1)
Replaces Form WCSC-56
Owner
Print
,, ao"-
Owner
s igna ure
Attest:
Was Co Sanita y District
(Form WCSC-1)
Replaces Form WCSC-56