HomeMy WebLinkAboutLat_13920GreenMountainDriveUASHINGTON COUNTY SANI-P '_ DISTRICT
UASHINGTON COUNTY, MO.
Project: Mauear.svillc/Orchcrd Hills
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Street (or location): :3t3 Gi2CF,,V
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SANITARY SE1, ER LA,TE�';
CONSTRUCTION RECC;C
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Contractor: Calla s Contractors, Inc.
",H zoG —TO MH 27o7
Date Installed S- zS/- 8 3 Wye Sts, On Main o+&9.8 L/
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCA,V.
LENGTH
LAYIi1.C:
LENGTH
*Herz.= Total
PYc
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St'd.
8
-3y'
spa 35
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""blOpe + Horz= ► ota
Dro
NOTES:
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t
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8' 1,4A/, -J
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Depth of Cleanout S. 3I (7 -Flow Line
Cleanout Z9.4. From
Layed
• E S Basement Service
lN,9
o X69.
f'1H, z 7
Amounts pertaining to work completed this peri , reviewed and approved.
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 3-1-3 Green Mountain Drive -�
MH 20'to MH 20'7 Dwg. #60-1-045
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a woode stake in the ground at that location.
X -
K)
393 I
-__-,- 376
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d
� F.H.
_CL - INV. 613.8
8 W R/W
221 M H SD15-207
11
R/W 'CO 8 SAN
- 713-M.27
INV. 614.5
f
R / W
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: J�f^P
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
33 West Wast
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a 0 7 )- 0 g
COUNTY SANITARY DISTRICT
gton 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:
7-1
Address
Signed
T s -
'Property Owner
Date
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,
Approved by W.C.S.D. Inspe
Date --41 I $ a3
nc.
WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEW ERAGEI�GYSTEM
PERMIT NO. X88
DATE October y
!t
SUBDISTRICT NO 15
Maugansvil.le/Orchard
Hwlle
4„; E Pl71Ipc
Permission is hereby given to: i.c 1 y r.
For Property Located at: 313 Green MQL nta in Drive
a�
Owned by: Melvin E Mi1ler Address: 313 Green Mountain Drive, Maugansville. ivu
Type of Connection: To Service Connection __ To 41 /". L�n
Type of Service: Residential
Commercial
Meter Size
) Units Other
Industrial
Connection Fee $62U•00 Date Paid
10-9-84
To connect to a public seweragelsystem (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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer V Y
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
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
Date { -
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: Permittee Plumbing Board 4
Field Office I
Date