HomeMy WebLinkAboutLat_13916WeaverAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 1301) 791 3083;3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: 6y11 �c -
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
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _— 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 Bo
Field Offic
10
WASHINGTON COUNTY SANITARY STRICT
UASHINGTON COUNTY, MD.
Project: Maugansville/Orchard Hills
Street (or location): 3 3)
SD1S-1–S
101 SANITARY SEWER LATERt;L
CONSTRUCTION RECORD
39
Contractor: Callas Contractors Inc.
TERM.
MH yo s TO MH –{"C
Date Installer' //- /y• 83 Wye Sta. On Main_1+9S..-r
WYE
SIZE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
,.
(v Pyr.
�Horz.= Total w.
NONE
pVc
� , °13 '
St' d,
3 3 ,
8
,
sr�Q z�
A
37. 8
141
ope + Ho =Total
Dro
NOTES:
C C E4Q,9,ye c
C 64 A/0(4 7
Depth of Cleanout 6.53 CeF'low Line
Cleanout 35 8 from � 4N ,y yo S
Layed C�
UAJkV0WAl Basement Service
MH'1 3to�
Amounts pertaining to work completed this
BY
—Ll WCCSU Ina actor
S
per' d, reviewed and approved.
Contractors Rep. –
s
UM&L luTb P1 &S (j, 21S o ,, C • w
Washington County Sanitary District
Pahl SEWER SERVICE LOCATION
Property Address:
MH 3%,G to MH 4-05
Subdistrict No. SD#1 5
Contract No. SD15-1S
Weaver Avenue
Dwg.#601 `063
Place an 'X' in the sketch below to indicate where the prpDrty
owner wants the service connection (lateral) to enter t VV
property. Place a wooden stake in the ground at that 1 tion.
o p�
I
co
(3318
)
( V
R !
'JV
44 8 SAN. MH SDI5-34 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.
Date: 9- Z Z - 6 Z 1,6;,41 IV D. tic /C SOwner (Print) (print)
y� Owners Signature
Attest: C - ,
WasX. Co .Sa� District
Y
(Form WCSC-1)
Replaces Form WCSC-56