HomeMy WebLinkAboutLat_13928VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
SUBDISTRICT''.
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM maL1 wL_ ,Tilley Grel"a vC.
Permission is hereby given to: Hills
For Property Located at: -- -
Owned by: Address: bia y i r ?,
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other
Commercial _ Industrial
Meter Size
Connection Fee
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: Date 2— La—
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: Date
DISTRIBUTION: Permittee Plumbing Boa
Field Office
HIN�GTON COUP: T Y Sr f"JJITAR"�►�,'T5 i ;iLT
JASHINGTON COUNTY, MD. -
Project:
Plaunansville/Orchard Hills I- - SD15-1-5
CONSTRUCTION Rr CC NU
Street (or location):_ 3Z5 GA=- 134) j ^
/:3928 illQg� i'l��•/l I,�riv-[
Contractor: Calles Contractors, Inc.
PIH 31Z �TO MH 3-17 ✓'
Date Installed eA r Wye Sta, On Pain O+11 005 w -r
WYv j SIZE-- ! TYPE DEPTH I-1,yPf- i EXCRV. LAYi;'l:
SIZE 1 TYPE: PIPE C.O. C.0•- i LATFIIAL ji LENr,TH - -- Uk:`'G ! __
ly Vx8;l
U PAIL DV L�5V V;7 S t' d .
sf>e. 2A i
NOTES:
,C��
sr' PVL
MSL.
45°
8e�n
Drop
`Slope + Horz=To;,ai
Depth of Cleanout S $1 vt- Flow L i n
Cleanout 1`5` from e, F -A&A ay
Layed 0 rf narax �eo�
ur✓yF.v&..,tJ Baser.ent Service
uow p.►°Xj S
i
8.,
MH,,' -s-7Z
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f" H;,
37 3
Amounts pertaining to Work completed ti;is Aeric , reviewed and approved,
B Y c-
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IjCSu in5pec;,or Lont.r.cccr; Ftp.
Property Address:
c i-rY
1 �r. �►, W ATE R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
323 North Street /3L7 --?V ValnnP- 1 i'l t iiri'V..P
MH 372 to MH 373 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.
8"W 40'wWMH SD15
VV g
I46 I � � 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: 1L11:6 2
Owner (Print)
Owner s Signature
n
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
37=j 7.3
....
Plans -all fol late -al to be
VO' WASHINGT0N 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:
Address3�3 �'Jc1r7/y J—
Signed `
roperty Owner
Date 1111-7- 19 9
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
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,
Approved by W.C.S.D. In� _
Date
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