HomeMy WebLinkAboutLat_13942GreenMountainDriveWASHINGTON COUNTY SANITA,Y DISTRICT ANk SANITARY SEWER LATERAL
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: Wr;rc G2zza�'
Street (or location): C7R6ory man ,pz bR.uc /ZKO�
Contractor: C#Af1Lr3s &RAeC- -1—NL
MH SDt�-Zo$ TO MH 5 D t5' LZ6�
Date Installed Wye Sta. On Main O+z4.5 LT
LaT- 3
WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE CO. CO. LATERAL LENGTH LAYING LENGTH
5Drt- 3S P
Horiz. a Total
ST 'D.
6y '4"x " ,Sprz-z6 PU. _
a
Slope + H = Totai
NOTES: DROP
Depth of Cleanout 8� T=7� at Flow Line
Cleanout 38` From
Layed at _V%
N!A Basement Service
o -+-Z5.5 Cr
MH # -Cob
M H #iuj
Amounts pertaining to work completed this period, reviewed on pproved.
BY
T_WCSd INSPECTOR CON AC S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S- Z
°;°N C, WASHINGTON COUNTY
MAY , 4 ,
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway ;/MVUv
Williamsport, MD 21795 -Q/ill 9 5�
°gRY��N (301) 791-3083
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:
of address:
For property located at:
Lot No. _ Subdiv.
Owner's Agent:
Street Address
Phase Sec.
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 /
01
Inspection Date: 3 ?€� Plumbing Inspector:
W.,