HomeMy WebLinkAboutLat_13902GreenMountainDrive,!,SHINGTON COUNTY
SANIT''"t STRICT
�.
S{'rdITAR'( SEER Lr.TES::°;
UASHINGTON COUNTY,
XO.
C CONSTRUCTION RECORLD
Project: maucansville/Orchard Hills
SD15-I-S
' }�
Street (or location)
: G2 � r-f*'J
_Jr%g.Cj .Dfz_
jjgz
Contractor: Calms
Contractors, Inc.
MH .Z / 9 TO MH
Date Installed
7- /,�-_83_
Wye Sta. On blain 1+ 80.3`
6/YE
SIZE-
TYPE
DEPTH
TYPE
EXCAV.
LAYIINIG
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENCT1!
*Horz,= Tota
SO2. 3S
Soy 10
Z
eve.
6S''s
St l
Slope+ Horz=Tota.
Drop
NOTES:
37.0
C.a
1`FSr..4
Depth of Cleangut 5,c5Jr nFlow Line
Cleanout3A,9 From 4 SEJEe .4Rr.J
L a y e d
-s.rQ&LQ0W1J Basement Service
PIH;''a l q Fl.00.1
P) H;" --t-2-0
Amounts pertaining to wor9ci.
' completed 'L. -his period, reviewed and approved.
4 y i�rQ
inv�'-JC z'JI �. �~L Oi?Lrt:C tJYS kep. ._ ._.
f
........ ..
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD;7"1 5.
31�O2 Contract No. SD1 5-1 S
Property Address: -24'-3 Green Mountain Drive
MH 219 to MH 220 Dwg. #601-057
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 -i 1 f - �_.1 - R/N
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:
Owner (Print)
�I
j Owner 's Signature
Attest: 81ZAAAge I:
Wash. Co. Sanitary District
(Form WCSC-1) 790 -//6-57
Replaces Form WCSC-56
p, 2
AWbk
WASHINGTON COUNTY SANITARY
i—
1.4
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:
L-Address�/3
--Signed
_Q,2,.,.
Pro7:erty O.;mer
_Late --Zo - F2
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 Contractor
Approved by W.C.S.D. Inspe
Date
Inc. ,,�-
WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM
Permission is hereby given to: _ / J 90a
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
PERMIT NO.
DATE
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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: (�J!� e �Pr�� 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 Office