HomeMy WebLinkAboutLat_13937GreenMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. MD.
Project: C.Q,-;;r-n• C -12C-011 SDt5-6Zg
Street (or location): 6th.
Contractor: CRAQL�CS (: 2QWZ 1 v l ✓I
Date Installed 6--eo-%
SANITARY SEWER LATEF
,W CONSTRUCTION REPORT
MH M -e TO MH )Zb-1
Wye Sta. On Main 1+413-62r
Csr --& i
WYE
SIZE-
TYPE PIPE
TYPE
C. 0.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
5n2 -3s
Horiz. 2 Total
ST 'D.
,t
rd�k�S3
4'I 51--n-z6 Puc—
•
// ti Tc�,O
Z�
/ 4
NOTES:
DROP
Depth of Cleanout /l. 5; -r~ at Flow Line
Cleanout l6 LT From .ar
Layed at Z'/o
NrA easement Service
MH#zo%
Z -t 90.5 2r
Amounts pertaining to work completed this period, reviewed an approved.
BY
WCS D INSPECTOR
M H # (Z6-1
�Z �.4
CON RAC ORIS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS
-
i
N coG WASHINGTON COUNTY
MAY 1 1 4 la
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway /q/80/,qC(
iamsport, MD 21795
RYI."N�� Will(301) 791-3083 rnikc --
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No. _
Permit to Connect to Public Water/Sewer System
Permit No. _
Issue Date _
Void Date
Subdistrict No.
Permission is hereby given to: �/�
Property Owner: Ic77 3`7
of address:
For property located at: 1 Street Address
Lot No. _ Subdiv. Phase Sec.
Owner's Agent:
Agent's Address:
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Fee $
Fee $
Fee $
Fee $
Total Fee $
Lateral with Mainline?
Residential EDU's
Commercial EDU's
Gal/Day Allocation
Building Number
Misc. Number
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Signed: Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 217404727
Phone: (301) 791-3070
17
Inspection Date: Plumbing Inspector: