HomeMy WebLinkAboutLat_13931VillageMillDriveWASHINGTON
COUNTY
SANITARY
DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN,
MARYLAND 21740
(301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to: Sly
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial _
Meter Size
Address:
Connection Fee
To Main Line:
) Units Other
Industrial
__. Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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: �. �.ra-�✓ 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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
O"S
G r,I!zJ 1,NGT ON CCUi':"i Y SA N11 TARY-IS T R iC T S;r.i:ITf;R SEL; ) I ;',T'-
UASHINGTON COUNTY, MO. CONSTRUCTION ZCCC:;S
Project: Mau annsyillc Orchcrd Hills 5015-1-5
Street (or location):3z.� I�R�_LA- _ GAI I�AZ.)
Contractor: Cal.les Cnntractors, Inc.
r; H 1 L TO MH 3-13
Date installed -4 J_ S --` p- u- Wye. sta. On Ilain O♦ %Z 57
�
.._......_ L
LIYE - Silt— J TYPE DEPTH i"Yt3f- EXCI'll iI. LI1Y is
S SE TYPE Pi('C C. -O..— C .0.L^TIRAL LFf1UTH L�:P1 T!
_.�
j *Herz.- Total
8"xlo''x8'� I>ve_ PV(— 1 Co.,o�c StId. I
N0TEs:
g..
pVL.
00
Drop
4 I
-i I LAJ P�
''`Slope- Horz=Totai
r
30 y -(o3 � + ZS.'S= Z<) ?8
1
40.10'
Depth of Cleanout 76VC rC1.ow Line
Cleanout F r o m
Laxed n 2De.op
LWQvi0 Basement Service
404-17--,;
MH;;31L H,;= 3�?,
Amounts pertaining to work completed ti:is peri d, reviewed and approved.
BY _ _ _
UCSu in� pLctor Contractors Fep.
t -'
0
Property Address:
AM%
Washington County Sanitary District
t SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
/ 93 i V(
Iz
MH `172. ro 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.
"— SAN
87 W
40wMH SD15-372 8'�SAN
'Ri_
I� r ►` L
I IF.
I �
LY
14C
X
IV
0)
dC�
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,At-F egc
-/ Owner (Print)
Owners Signature
Attest:
Wash. Co. Sanita y District
(Form WCSC-1)
Replaces Form WCSC-56
Ohl -7o 3-13
Plans call for lateral to be
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 7913083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_ j�-,'j��
Sigried
Property Owner
Date��.;
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 conCiitions at no change in c0 .tract price at the following
location:
Requested by Callas Contractors, Inc. Q
Approved by W.C.S.D. Inspector ?-0,U° �
Date