HomeMy WebLinkAboutLat_13910GreenMountainDriveWASHINGTON COUNTY SANI10"kY� 'STR1,CT
UASHINGTON COUPJTY, SID.
Project: Maunansville/Orchard Hills SD15-1-5
CSANITARY SP ER LATER,'?
CONSTRUCTION RECC;RD
13C11 10
Street (or location): _ F-e5(2,eF�.v i►�t7- D,e�vE C�21 37Y)
Contractor: Calles Contractors. Inc.
NOTES:
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ape + Horz _ -6ta.
Depth of Cleanout 7.03 CL:.f law Line
Cleanout 37• S ` From ntH
L a y e d C-____�_L_ ..-.°
V6 -S Basement Service
MH;`ZZo
123° „
TERM. MH;,` z Z t
Amounts pertaining to work completed this period, reviewed and approved.
S y J�J
CSu ,ns�� c r Lan_ -victors Rep.
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TERM -
--
MH Z Z
—TO MH
Date Installer'
7- /9 - $ 3
Wye Sta.
On Main SL-. t
I w ru N1 #4
WYE
SIZE-
TYPE.
DEPTH
TYPE
EXCAV.
LAYING
'SI7E
TYPE PIPE
C.O.
C.O.
1
LATERAL 1
LENGTH
LENGTH
�" pvc
*Harz.= Total --
NDA/E
Pic
7.03
Std,
,
3 9'
3 °) - S ,
spa Z co
NOTES:
Dra
g" wRrEe.
MAiN
3. S' 8f- C
suR.�Act
Mtj , /8-40
.
ZZ1 - - —— —
C LiC-AAJotiT
le�
ape + Horz _ -6ta.
Depth of Cleanout 7.03 CL:.f law Line
Cleanout 37• S ` From ntH
L a y e d C-____�_L_ ..-.°
V6 -S Basement Service
MH;`ZZo
123° „
TERM. MH;,` z Z t
Amounts pertaining to work completed this period, reviewed and approved.
S y J�J
CSu ,ns�� c r Lan_ -victors Rep.
/___ I it -n r.
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LkrWAL INTO Mµ P4 @ 1230
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SDrr15
(3 C CC) Contract No. SD1 5-1 S
Property Address: -2 -2 -5 -Green Mountain Drive
MH 220 -l.> t-114 G-zj 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.
W
O
7
� O
R -
374
(225)
!i O
81. W
8SAN MH SD15-221 MH
0' R/W -
C R / W
Q
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: iG- 2�- kZ �c) N P, bEE G ES
Owner ( rint)
Owner's Signature
OW Attest:A
Q 2: 6
Wash. -Co. Sanitd y District
7QD - 1q5 5'
(Form WCSC-1)
Replaces Form 14CSC-56
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 342
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 11-5-84
P.O. BOX 571
SUBDISTRICT No, 1
PERMIT TO CONNECT TO PUBLIC SEWERAGEiWAUR SYSTEM 'v ille/Orchard
Ronald Gates Hills
Permission is hereby given to: �xiX4b�E10XDGD0IOXX�X6lkXxi�
For Property Located at: 225 Green Mountain Drive
Owned by: Ronald Gates Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
5 Green MOunta i n Drive
To Main Line:
Units Other
Industrial
Connection Fee $620 .00 Date Paid
To connect to a public sewerage/per 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.
Building Permit No
&'L"'- 0 - 0..'
Secretary-Treasu r P -a" 0 1 U
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:As� C Date t `j
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permit
1 Plumbing Board 4
Field Offi
Date