HomeMy WebLinkAboutLat_13940VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 (301) 791-3083 1 3084 DATE OCobei" L} I J t
P.O. BOX 571
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGENJUMSYSTEM miiga SVj-1:�.6! GreMrd
Permission is hereby given to: d a y ri e r Durbin
For Property Located at: 335 N. North Street
Ownedby: WaYnQ- F Wirbin Address: p �. iinX, 366 Na�!ydnsyJ I I ME, 21767
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential Units (� ) Other
Commercial Industrial
Meter Size _ Connection Fee $62U 0Q ._ Date Paid
To connect to a public seweragelvn=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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer d✓ �.
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
'vj
Final Inspection Made BY: ^ Q • ° � . C1, 4_4". 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board 4
Field Offi
Date
'.,IASHINGTON COUNTY SANITARY STRICT
UASHINGTON COUNTY, M0.
Project: Maug�ansville/Orchard Hills S015-1-
139401) agP mild breve
Street (or location) : 3-35- S
AN SANITARY SEWER LATERS'
CONSTRUCTION RECORD
3
Contractor: Callas Contractors Inc,
MH 37/ TO MH 37Z.
Date Install.ed� /Z - Z3- 83 Wye Sta. On Main Ifyo.2 �?
WYE
'S-IZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH w
$rX �,X �
P vc
�
St'
*Horz.= al
(j
Sc)Q 35"
5D2 Z(o
ope + Hor --Total
NOTES:
Drop
Z s'
y,(s +
g M p IN
E AN ou -r
Depth of Cleanout 6•o$ (�;log► Line
Cleanout /s•o from q1,y
Layed @ 3 . A TER De,., P
No easement Service
fyo. z 9
MH' 37�
vA
0
MH#3�,
Amounts pertaining to work completed this period, re iewed and approved.
8 Y J�
WCSU Ins e or Contractors Rep.
P
Property Address:
MH 371 to MH 372
q�
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
335 North Street 137w) t/1/jaG-e M,*I l r, -,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.
CD
V
t
V
V.
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: // 0 tl 1V/I/ C- /A
Owner (Print)
Owner 's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
AOW
37�-
3?�" Plans call for lateral to be
WASHINGTON COUNTY SANITARY DISTRICT A"k
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:
r
Address
Signed
roperty 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 conditions at no change in contract price at the following
location:
Requested by Callas Contractors, Inc.-
Approved by W.C.S.D. Inspector
Date IZ -/ 5 - 83