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HomeMy WebLinkAboutLat_13907GreenMountainDriveNo wAeD 7 I coe 'a"A,SIKINGTON COUNTY SAPJI30'*Y 'STRLCT SANITARY SEIjER L„TE.P;'L UASHINGTON COUNTY, MO. � \_ CONSTRUCTION RECGR"- Project: Mauaansville/Orchard Hills sols -1-5 Street (or location) : �3� &2C --E,0/ ^T14. Q91 - E Contractor: Calle Contractors,, Inc. / Date Installed 7-- J, 83 MH Z" �TO MH zZJ Wye Sta , On Plain /f S . je WYE SIZE-- J TYPE DEPTH TYPE EXC—AV. LAY1t,JG SIZE TYPE PIPE C.O. C.0. LATERAL LENGTH _LENGTH -*Horz.= Toial �xC)c fi G .. Pvc PVC y. z S St 3 d 5012 35 1 S -De Zto NOTES: 8- MA"4 lb.Lope + HOrz= I otai Drop . 1166 AC-AlO s q 44 ou T Depth of Cleanout 41- Z5 CFlow Line Cleanout Zo. 5 From %, Mn."N Layed 0a % ' iJ No Basement Service 58.3 MH;`-ZZc V\ iiH Amour's pertaining to work completed t„is period, reviewed and approved. •+p Conrri ctors Rep. /_�' M u� 7's Property Address: MH 220 to MH 221 iamk Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 15907 Contract No. SD15-1S -2-M-Green Mountain Drive 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. 16 b a D R/W 8SAN MH SD15-221 382 6) - 3 I X(2 ( J - 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: /6 Attest: (Form WCSC-1) Replaces Form WCSC-56 r r .. 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_ .Izz Signed 7/6tt/n,,e,�— 'Property Owner Date lbot" j L / V I q 2 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 ' Date72,elt,3 WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: 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 Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: � �.C3 CL-il ��++� ___ Date Q 0—f G—&q 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 __ Offi