HomeMy WebLinkAboutLat_13906GreenMountainDrive_+�SHINGTON COUNTY SANDY 'STRICT
WASHINGTON COUNTY, SID.
T 5e tr o rg,�
CSfirJliARY SEUER
CONSTRUCTION RECORD
Project: Maucansvillc/Orchr.rd Hills S015 -1-S
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Street (or location) : -�E- G /2c-EAj /►1T G,qx 37
Contractor: Calles Contractors, Tnc.
Date Installed 7-/5- b3
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Wye Sta . On (lain Z +19 4-
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SIZE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYINIC
LENCTF!
*Horz.= Total
8x&xb**
Soe 35
PVC
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7.(,s
St'd,
33./S
NOTES:
Dro
Slope+ Horz=io
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8 " /,AA;.A
Depth of Cleanout 7• &S 't Flow Line
Cleanout 393.7S --From
Layed 0 / e
• NO Basement Service
MHII''
Amount: pertaining to work completed this
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period, reviewed and approved.
Contractor- Rep.
p
- y Washington County Sanitary District
SEWER SERVICE LOCATION
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Subdistrict No. SD##15
i lgc;(p Contract No. SD15-1S
Property Address: _2-1-7 Green Mountain Drive
MH 220 to MH 221 Dwg. #601-045
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.
7� x
L. 8.. W
MH SD15-221 MH
50' R/W
The undersign d•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: 10/Z �0
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
y' ►
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 ?fir_ cru
Signed
'Property Owner
Date �-1x1F3-
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.
Approved by W.C.S.D. Inspector CL �,aCa
Date 3
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 253
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301)791-3083/3084 DATE 9- o-' 4
P.O. BOX 571
SUBDISTRICT Nm_ 1-5
PERMIT TO CONNECT TO PUBLIC SEWERAGE/W&XA SYSTEM Maugmmaville/Grehard
Hill
Permission is hereby given to:
For Property Located at: 2 1 7 u rte n Mt. Drive
Owned by: iohn S£nuta Address: 217 Grogn Ph Ilri vp, f,1aijga lSVl l le, N]F)
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
X To Main Line:_
(1 ) Units Other
Industrial
$620.00 Date Paid
9 -2b -D4
To connect to a public sewerage[ r 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: � W Q:�' . 04-ADate
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: Permitt
Fie
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board 4
Office 1
Date