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HomeMy WebLinkAboutLat_13840WeaverAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. _ 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE PERMITTO CONNECTTO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT Permission is hereby given to:j For Property Located at: Owned by: Address: Type of Connection: To Service Connection _ _ To Main Line: Type of Service: Residential ( ) Units Other Commercial _ Industrial Meter Size ___ Connection Fee _ Date Paid 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 Spacifications. 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: k4 n.% Q _ Date -9— 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 Bo Field Office 'WA'SHINGTON COUNTY SANITAOO4 DISTRICT UASHINGTON COUNTY, ISD. Project:_ ✓haugansviIle/Orchard Mi 138;y,� Street (or location) : �3s YVEgvse Contractor: Calles Contractors. Inc Date Installed 9- Z e- 3 Ls SD15-1-; AN SANITARY SEWER LATER', CONSTRUCTION RECORD' :1, ' �bc� = a, MH 3yZ TO MH :3 J/3 Wye Sta. On Main ?+Lo . 7 ,L �-- WYE SIZE- TYPE DEPTH TYPE - _ EXCT, LAYINIG .�. SIZE TYPE PIPE C.O. C.0. LI'iTERAL LENGTH i, „ LE NGTI-, $X(oK6 (opvr-J�VC *Hort.= al. SnQ 35 SoR 2� y'74, x�.Lope+ Horz=Total NOTES: Drop jZ.�SZ.95+ z�•Sa_ 3o•ys C IEA.dOuT Depth of Cleanout_ y.7G Vlou Line Cleanout Z7.75 From � ,Kp;AJ �•----p ----� L a y e d @_____y_ 9 f Tea n,& op Mo Basement Service Z i 6o. 7 N MHL-' Amounts pertaining to work completed this perio , reviewed and approved. BY WCSLi Ins ector Contractors Rep. PI��. J�TIrDbq �� Washington Count Sanitary tary District SEWER SERVICE LOCATION Subdistrict No. SD#15 13,5gZ Contract No. SD15-1S Property Address: —23 South Weaver Avenue MH 342 to MH 343 Dw . #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. R/W — q 3948 L_ (235) Li 8" SAN. MH SD15-343 ( �8S AN �--R/W I 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: q/�slb-& Owner (Print) - Owner's Signature Attest: Wash. Co. Sanitary istrict (Form WCSC-1) Replaces Form WCSC-56 3`� 3��� •.. ,Ca r�-,P,c / 7-o �- 17 lz or 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 ,2�5 ,�•► Signe Property Owner Date( 1 f3 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 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, I}c.,�i.`���� Approved by W.C.S�.D. Date S�