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HomeMy WebLinkAboutLat_13935VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084 DATE - 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 Type of Service: Residential Commercial Meter Size Address: Connection Fee To Main Line: Units Other Industrial Date Paid SUBDISTRICT 1 . . 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:Q�� Cit 1�..1 _ 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 Boa Field Office WASHINGTON COUNTY SANITARYON�ISTRICT WASHINGTON COUNTY, MD. Project: Mau ansville Orchard Hills /9' Street (or location): ,� 34s 0 ART) SANITARY SEWER LATERAL CONSTRUCTION RECORD / 5l/ Contractor: Callas Contractors Inc, MH 37i TO MH 3;?Z Date Installer' /Z- 73- 83 Wye Ste. On Main Z'f oz. p L_ WYE 'S-IZE SIZE— TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYING LENGTH 8zCx a' �pvc- *Horz.= T 1 Pyr S ' SD2 3S S Dp Z (o ope + Horz=To 1 NOTES: Drop 33.6 S. 5o'* Z(o,8o ; 32!. 3o g wr4TeQ ^gInl CCEAA40UT —�A ZS e(.iE40.x+NcC i ys° aEN0 z 8" M.4 I'Al Depth of Cleanout 5. -1// CaFlow Line Cleanout Z8•(c57' From L a y e d AF%Ee f. )z NO Basement Service N ZfoZ.l � Imo, MH;' 3'7/ MH# 3 7'Z Amounts pertaining to Work completed this peri d, reviewed and approved. BY WCSD In� ector Contractors Rep. t kin` ''%k Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15-1S Property Address: 330 North Street 13935.1%'j1&2,P Iy jj 1)ri i1.P 111 MH 371 to MH 372 Dw #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 L- a,w 40'R/WMH SD15-372 8" SAN _ F I � Lx 14C 14 F (330) 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: / v� �" /7lO�iNi S Ser` Q Owner(Print) �,-/T./lam Owner's Signature Attest: GZ s Wash. Co. -Sanitary District (Form WCSC-1) Replaces Form WCSC-56 Ok • - _ r W y . Plans call for lateral to be WASHINGTON COUNTY SANITARY DISTRICT Il ii 33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791-3()S3 To: Callas Contractors, Inc. Thereby request the contractor to install the lateral in accordance with the following conditions: Address_ /Q Y,IV Signed ,& ��-Property caner Date _ A A- r-3 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewerk ,{ Contract No. SD15- 1-S a, . Gentlemen: We hereby request permission to install the house latere2 of greater than'two (2) percent and/or in accordance with the Y . above conditions at no change in contract price at the following: location: Requested by "Ca11as Contractors.._ Inc. � :R1 4' Approved by rF.l' S.D., Inspect w Date _