HomeMy WebLinkAboutLat_13923VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT
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
Address:
Type of Service: Residential (XXA Units
Commercial
Meter Size
Connection Fee
To Main Line:
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY:\ f U �7 �C�LZF3►�-1 Date o " 94 -
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 Boa
Field Offi
Date
S,
UASHINGTON COUNTY, MD.,
SANITARY SEEIJER
c
CONSTRUCTION R CORI
Project: MauaansvilleZO chard Hills S015-1_.5
/3'-7`2r, i 3823, /39V y'%i c-J� yv1> 11 br vt
Street (car loca -ion) : /02_Z'!� Si/z�Fi
z
k.ontractor Cal.l.os Contractors, Inc. _.� . - - _ - •.�-. `¢ f' - -
Date Installed //- / 7- 8-3
WYE � SIZE_ 1 1 y1
IZC TYPE P11'c".I C,n
NoNc
NOTES ,
pvr- PVC
SOQ Z(_
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DEPTH TYPE
CJ) .n LATERA
StId,
7, sz
Droa,-'
Wye Stra, en
14'ro Ai 14 Aloy
CXC,,V. LAY I"J :
-�.-_ LENGTHS � LC.MGTH
I *Hort,= Total
/ S. S/o I /'y. of o ,
ops -t- UA3'Tz=Tota
5CEp,q9r P; -r
W I iH N• r4 8 X P' P' E
Depth of Cleancut 7. SZ U loin L i ne-a.
Cleanout /Z��o' From .Nle/ yoy
Layed C Z�S
:.-c/NK,Vowa/ Basement Serv-ice
MH"'3(,(o
Amounts pertaining to work completed thiu period, reviewed and approved. b
BY
,;Cap,
MojL: GAl * 14A 144-A 1145
1ATh MN 4v+
IZAIAL
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
LAIL-4AL I1JT0 MH ��' Contract No. SD15-1S
Property Address: North Street (GAI #144A) -�
/39-Z1, 13Vr25, 131)�I�S' Dwg. #601 - 041
MH 36to MH 404- V lI nne J1 -7,r 11 Dr,ye 601 - 032
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: 2 Z �lGr� �+ �✓�
Owner (Print)
Owner' ignature
Attest: WahaC�j.
Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
ObTa ' L*rwtAL ,!J --fir 14+A
I7,1-I/tt f3*
LA-MeAL 19 t'b M N 404 �, Ve
Property Address: 318 North Street
MH 3&L to MH 4-o4
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. ISD15--1S
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.
- I
e
1
c
w
1
DD -601-040
MH SD15-37:
-,4
146A
W (318)
Z toi 3q a`
W 1 fl
0Air0
cn
W
CC
Q. 5
W
The undersigned agrees that the Sanitary District may
Kcavate an additional five (5) feet inside the property
ine 'so as to facilitate, and make less expensive, the owner's
Dnnection to the lateral and to prevent damage to the cleanout
hich will be installed by the District at or near the property
ine.
Date: ZT 2. (/ B 2_ G �A2� C "
owner (Print)
Owner'' Signature
Attest: =
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
6Le parr : LKS. 4wwr of A C�uJ
Washington County Sanitary District
�St r:;�16 ,
r SEWER SERVICE LOCATION
(,,.A e4vAL i Ai To M14 Qr WLa SD#15
Subdistrict No. _
Contract No. SD15-1S
Property Address: East Preston Avenue (GAI #145)
wg.#601-041
MH S&o 'to MH X04 #601-032
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:
ic I- - --w
44:2?f-e-D - 1-�, Tw " -
Owner (Prin )
Owne s Signature
Attest: ie j,4Aj_ � )1 sty
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56