HomeMy WebLinkAboutLat_13936VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21740 (301) 791-308313084 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM 2Q
Permission is hereby given to: Samuel Ca4?mi c `h�.£fer �_) 1 ��'�
For Property Located at: p :iaju,g,aliSV.1J,lE'
Owned by: : ;iT?? ? f Y. r. Address: P.O. E, -)x 453 • Mauj4a i LTi i 1 e s hl 21 7C
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public seweragelwk&-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 SF3cifications.
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: w�_c>c-�_ %— 6— R
�-s.a�.�-----— _ 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:
Final Inspection Made By:
DISTRIBUTION: Permi
Plumbing Boa
Field Offi
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Date
'� 3,!'1GT0N CCUN7Y S"NITARYApWSTIRICT
UASHINGTON COUNTY, MD.
Project: Pla-u0nnsville/Orchrrd Hills
1393(p Ti`l a
SDI 5-1-5
Street 31 9 , .7i //ivy
(or Ioca�ion) - t��71.� �T 6AT
I
Contractor: Colles Contractors Inc.
TO 1"1H
Date Installed.-.'2�..y ! SL -I 1!; Sta. Ori Main
CONSTRUCTION
WYv S1ZE- I `i`Y10 DEPTH I TYPE � � EXCAit, Lfa'�'ii
SIZE 1 TYpr" PiRc� C.O. _ C.O. I L^TfRAL t-- LE��^TH � l-,-I'ST1,
�1Hcrz.- Total. S t' d , e
5D(Z 35 r>Vc—
elope+ Horz=Total
Dr Lip rdoTti5: 4.40t 13'16
Depth of Cleanout (p. 61 Vr. rIow Line
Cleanout 1 Cg' From M� L
Zayed Cryp° r Prey- PW(7
C.tW1C.Abr►71iU Basoment Service
I INH ;"- 317 -
Amounts pertaining to work completed thi, period, reviewed and approved.
8Y L r— 1� -- ---
C3u inpLr nor o
L �.:
ntrarrtors kep, -�
0
Property Address:
MH 371 to MH 372
C rTy
A w�9TFR
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
331 North Street /3M V�ilar,p M,•)l Ar,vp
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.
U(3'
136
(331)
I L�
j I �
\ r
a w 40'R%WMH SD15-372 _
SAN R/W
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. —r
Date: /�//3�8 Z ' �A�Ke E!'�✓S� _�
Owner(Prant)
Owner's 6ignature
At t e s t
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Plans call for lateral to be
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address
Signed
Property OwnOr
Date
I,lashington County Sanitary District
33 Nest 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, Inc
Approved by W.C.S.D. Inspector
Date /Z- 15 - 83 V