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Home My WebLink AboutLat_13925VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 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: Address: Type of Connection: To Service Connection Type of Service: Residential (XXX 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 p U W� l �bCL/r.2 3>� Date J C)� - Final Inspection Made BY: �� 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: Permitt Plumbing Board Field Offic Date A.SHIi�GTON COUNTY SANITARY i5' ftlCi SANITARY SE;'ER LATE'J•L " �JASHINGTON COUNTY, MD, CONSTRUCTION iEC(i�" Project: Mauansville [lrchard Hills - -- 5015- 1--S — - i3�zl, i'3 f•23, /3 1 Z� _i/^i ! c.-�.� yam: r1 (�; i✓t Street (or local—ion)— /V. Contractor: Callas Contracts—s-L Inc. Ay__TO MH Date Installed /%- / 7- 8 3 Wye Sta. On Ai N # yoy � WYE SIZE. TYPE DEPTH TYPE� EXCAV. LAYING 'S-1ZE TYPE f;. 1PL. C.PC C :_O...� � „LATERA t_ENGTH� LENGTH *Horz.= Total NOME Svc PVC , 7, SZ et3d. /S S/v /5� °)o, SDP- ZG 1 N"OTE S, M/� je ops -t- 5,Gr z= Dray ,Lc;H�1 ou e 'scEp.}?r p1,Y �-J w rM Al .. 94 t X J,, r' i Depth of Clea,ncut 7.5Z Cleanau�:lZ��o�`-'om � A44 LJ _y, -/k 0WA Uas e n 5e r0.ce MH ', 3(o(o 242° Amounts pcvtai ni ng to work completed this period, reviewed and approved. b a y �� :3C30 1rMP mor - ontractors Rep. Molt: CAT* 1446A, 144-A 1145 1ATh M#1 +o4- 12�a�/4s C/ 0 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 LA%4ZgL INTO MH "VT I Contract No. SD15-1S Property Address: North Street (GAI #144A) /.3 721, 13�113, 139215- Dwg. #601 - 041 MH 36S 'to MH 404 V1IlC11Qe,J"'ill Urge -_ -- 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. R/W MH SD15-373 FH. I4 (3k p` g" — SAN L I 2) 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: /21-1 Owner (Print) Owner' ignature Attest: &�." & X -e -P o-- P-4 Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 I%A'/t, f3* , LAT'WAL 1 M 1b M 14 404- @i'l e Property Address: Mu :1i i +-r-, MN 4-n4 318 North Street G/ u1 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. Contract No. SD#15 SD15--1 S 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. DD -601-040 - R/W MH SD 15-37 : FH - 146A (318) 0 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/ 2.1/B2 — �Cl�i0iL1� C �✓nil� �— owner(Print) Owner'' Signature Attest: ii.��y �� Si ,,tpl- Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 45�a) Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 5 Contract No. SD15-1S Property Address: East Preston Avenue (GAI #145) Dwg . - MH 3& to MH x(-04 #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. Ji R/W MFA SD15-37: DD -601-040 F1 i1 F�;k5n eA3 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. t Owner (Prin ) -Owner" s Signature Attest: iQ..� -��+ �C JlKCS /lam �! � i Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 z _ cn _w 1.1 i1 F�;k5n eA3 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. t Owner (Prin ) -Owner" s Signature Attest: iQ..� -��+ �C JlKCS /lam �! � i Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56