HomeMy WebLinkAboutLat_13921GreenMountainDrive1W
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
139 it Contract No. SD15-1 S
Property Address: .3.1.4 Green Mountain Drive ---
MH 207 to MH 208 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.
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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: 3 K Ic�IaQp �. �i�trl¢�OLE
Owner (Print)
Owners Signature
A
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Plans it for lateral to ha
.- WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 301 791.3083 ? ,^����3� 4,
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To: Callas Contractors, Inc. �a
I hereby request the contractor to install the lateral in;
accordance with the following conditions;
Address
,i► Signed'
Property
Owner -
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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 /���Q„-per
Date �.Z
.
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 39
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: R i c h 3 t d k be r s 0 1. e
For Property Located at:
Owned by: Richard
314 GreBn Mount
e r s 0 1 e Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
in Drive
SUBDISTRICT !30- I
a a' _- ,_ a Orc s and
3
314 Green Mountain Drive, Mauaansvi1ie, X01
To Main Line:
) Units Other
Industrial
$620. Uu _ Date Paid
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.
Building Permit No
Secretary -Treasurer /aa/� 1
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: Date
DISTRIBUTION: Permittee Plumbing Board 4
Field Offi