HomeMy WebLinkAboutLat_13820WeaverAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-30831 3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEAVAiTERSYSTEM
PERMIT NO. I
DATE
SUBDISTRICT
Permission is hereby given to: u �; t i it C
For Property Located at: 13 S"W outh '=, v P- Ayerl,- ��
Owned by: Inc'. Address: Al_ �hh ox 321,Hagerstown', MD
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 seweragell!pr 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
ii
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
'PI umbin spector
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: Permitt
Plumbing Board r
Field Office 1
Date
snSHINGTON COUNTY SANIT*W DISTRICT SANITARY SEWER LATERiL
WASHINGTON COUNTY, MD. CONSTRUCTION RECOnC+
Project: Mauu ansv.ille'Orchard Hills
SD15-1-S
r 3HO
Street (or location): 4-3-3 bVEAyEP, AVE GAA- 3c)/-,q)-
Contractor:
°l/-q)
Contractor: Callas Contractors, Inc.
MH 3y/ TO MH_Z ✓
Date Installedr 9• Z°1- 83 Wye Sts. On Main /toS. S L
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING:
LENGTH
ave
*Harz.= Total �~
PVC
S. C1 L
S t' d .
3z'0
30.0
Spy 3S
Sne z�
z=Total
Dro
NOTES:
77��
Depth of Cleanout 5.5L' S)FIcu, Line
Cleanout Z7o From n1�,•�
L aged
No Basement Service O
v
0
/foS. S
MH':' Y/
M H-4 5,V? -
Amounts
S/L
Amounts pertaining to work completed this period, viewed and approved.
BY
W -CS J Inctior Contractors Rep.
.•• -m% PW
'# 1 Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13ga p Contract No. SD15-1 S
Property Address: --1-3'3 South Weaver Avenue
MH 341 to MH 342 Dwg. #601-062
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.
0 v v I r1
MYM
3 391A
(I 3 (133) 9:0 13 4
od i� CC -1 i
'R/W
VV E. I-
340 B" SAN_ I rutty -,nici-A41 I A" SeN rR tPj„r
1 HV
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: qJ-z-tI�_L_
Attest: d�4�
ash. Co. Sanit y District
(Form WCSC-1)
Replaces Form WCSC-56
Owner (Print
er s Signature
• e3 9/A � /�a3 -S- lc%A✓�;e...• O�.vNs 'A�/ F�2
,ter► � 4471WAI TO ae^
9
3 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
ph Signed
Property Owner
Date
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, Inc. Q.
Approved by W.C.S.D. Insp for A
Date 71 'q /