HomeMy WebLinkAboutLat_13941GreenMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD. AO&
Project: L•jwrwr,- GeEr:.�
Street (or location): Ggec,j
Contractor: CPA'zlES i CC
Date Installed 6 -Z4 -`t6
SANITARY SEWER LATEF
„nk CONSTRUCTION REPORT
MHSD_!5-Z�� TO MH 5D6- 1Z6
Wye Sia. On Main 7-+%
WYE
SIZE -
TYPE PIPE
TYPE
C. 0.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
SU2 -3-3
Horiz. = Total
STPD.
_
NOTES:
DROP
Slope t Hor' . = To
12
Depth of Cleanout l3' T of Flow Line
Cleanout A From
Layed at Z%
Qlk Basement Service
MH ## Zoa
Z
M H ## iZ6-7
LoT�'8
Amounts pertaining to work completed this period, reviewed an pproved.
B Y
WCSD INSPECTOR RA TORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
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: ` j J J 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 21740-4727
Phone: (301) 791-3070
Inspection Date: ,! Plumbing Inspector:
WASHINGTON COUNTY
3
WATER & SEWER DEPARTMENT
_
16232 Elliott Parkway
��HRYL�N�
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit
Permit No.
Subdistrict Name
Issue Date
Mainline Contract No.
Void Date
Building Permit No.
Subdistrict No.
Permission is hereby given to:
Property Owner:
of address:
WN
For property located at:
�'•
Street Address
Lot No. — Subdiv. t't' _"N Phase Sec.
Owner's Agent: In r V 71- 77T << s —TJ .iN , , ' " R
Agent's Address:,
Previous Owner:
Fees Paid in Full?
Date Fees Paid
Lateral with Mainline?
Residential EDU's
WCWSD Alloc./Conn.
Fee $ Commercial EDU's
Fee $
WCWSD/Other
Gal/Day Allocation
Fee $ Building Number
City of Hagerstown
Fee $ Misc. Number
Total Fee $
Remarks
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: ` j J J 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 21740-4727
Phone: (301) 791-3070
Inspection Date: ,! Plumbing Inspector: