HomeMy WebLinkAboutLat_13903GreenMountainDrive�e��-
._' SHINGTON CCUNTY SANI�Y� "STRICT �^'" r' SANITARY SEDER L'TU
UASHINGTON COUNTY, ISD. ` CONSTRUCTION Rs=CG;
Project: Mauaansville Orcherd Hills S015-1-5
Street (or location): aZt- 1390 3 GasEs +tio.iJTAL„J 'D�.�E Gat Zst�
Contractor: Callgs Contractors, Inc.
N.
MH otao
TO MH LZ
Date
Installer'
'7- i3- gs
Wye Ste. On
blain 0 q
WYE
SIZE-
TYPE
DEPTH
TYPE.:
EXCAV.
LAYING
SIZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LE'1GT1{
S "ti 6
'� PJC-
*Herz.= Tota
Sot 35
SoQ. Z16
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NOTES:
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G.o.
Drop
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Z 3 (o.S�Ft 17•/ s Z3.bc
Depth of Cleanout 4.oz v07 QFlow Lane
Cleanout t9.-5 `'K From ^4^C J
Zayed 2 9, so F►e,frz -�zoA
Ale Basement Service
f�itiJaa � Fi.o..1
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Amount's er} inin to w completed "'hi-, period, reviewed and approved.
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: `22 Green Mountain Drive
MH 220 to MH 22j 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.
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. Z
Owner (Print)
Attest: (-� g-- - I ", bLz2
Wash Co. Sanitd1ty District
(Form WCSC-1)
Replaces Form WCSC-56
Owner's Signature
,,Ar
WASHINGTON
P
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
;? ;�0 -'�)' I")- �L-
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address %�- ���^�' IV7N, ))r
`�. Signed 0 _ 00-a—.
o_______
'Prop rty Owner
./date i
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.
IV
Approved by W.C.S.D. Inspector e.4241ta
Date M,�E
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT '
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM kal J,
Permission is hereby given to: n"► oma,)
For Property Located at: 21-.x_ Green lA n- 0 ive, Malwansy1I I Mi D
Owned by: [.e r.-�y Al -len Address: 712 Green fviountain Drive, Maugansville,: MG
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
To Main Line:
) Units Other
Industrial
Meter Size _ Connection Fee _ Date Paid
To connect to a public sewerage/w4ter 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: Ls__ . Date q— t q — � 9
T
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Field Offi
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date