HomeMy WebLinkAboutLat_13924VillageMillDriveWASHINGTON 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 SUBDISTRICT�
n _SUB C �,Q. -iS
Permission is hereby given to: frast..yn
For Property Located at: '(' B�ortih Worth `� � '� '; � �`� �� s 21767
Owned by: presten SbWolt4prAddress: $ "°3 �`,..Xlgat� -4d � l.? - ?;1 ? n °,'7r,-'
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee_
Final Inspection Made BY: A.Xlr- v, Date
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
I., I-N'GTON COUIN<TY-�ANITAR'y �tiCT
UASHINGTON COUNTY, M.D. Oft
� ct:i�ITkRY SEI�EH Lr, l'c�..��
CONSTRUCTION llz-; c,;L�
Project:
('1�unr.rsvillclOrrh�=:rd Hills
5015--1_5
i
Street (or 1 o c a t i o n) : -- - 3
G4:—
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Contractor: Ca.?lcs Contr,-.C�:Grs, Inc.
-- -
J'
�'E�"
MH 4-13. r. TO MH 3 -7
Date
Installer, y J.,
�,-eLq�
Wye Fite, Qn IN: o�cin e!�.1?���
W1'L j
SS C i
5iZE-
TYPE PLr-
TYPE
C.O,
DEPTH
C.O.
1
1
TYPi: j
LATERAL f
�XCYtiI�-
LENGTH
Lia' (':;
,
OIAT or A1i1 �
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i
1
t
{_Emr;`
-
*Herz.= T '.:al.
G�,
' d
S t .
-Slope+ Horz=loyal
{
Drop
NOTES:
1 2140
Depth of Cleanout L4_4; !_-'.f le w L: rle
Cleanout V. From 4. vh,,j
Lr,yed�� j, A4=qVrW_ n2r,p
UAvVl Wb-A,•J Bascment Service
MMI 31
2106
3
Amounts pertaining to work completed this perio , reviewed and approved.
%BY
CJx UICSU in3pector Contractors Rep. �T
L O&OL INTO �04 H 3�3 Zoo ° p/V1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD¢#15
Property Address:
N]14 (C MH 373
Contract No. SD15-1S
319 North Street /3904 V f 'ARQe Mill L�ri've
Z70
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.
13
31
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MH S�6-37`3 8" SAN 8"W 4.'RIWMH SD15
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14 I
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: �� Z #1 cg Z- �Y s !� D 2V 1 � 3 (& 1(2 �
Owner Print)
- vi,
Owner's Signature
Attest: i
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
S1 L T
Plans 11 for lateral to be 13
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
77
Address J%
... SignedZj'/
roper y Owner
Date 712. dZ-7 e
= M
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following -
location:
Requested by Callas Contractors, Tric.1
� W.C.S.D. Inspect
Approved bor m
Date