HomeMy WebLinkAboutLat_13831GreenfieldAvenueI�
CNl Ck FoR /771N DC -P- 14 DuR4"JqL CI WRfI:R
Property Address:
MH 347 to MH 339
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1383( Contract No. SD15-1 S
72-2 Greenfield Avenue
Dwg. #601-070
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.
8 ff'SAN. 36'RIW
IzW +
F
1460
�I
I (2 —XJ
GI �
— —t
12 8 S A N,
15-339
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.2 _ 1 -- ff Z
Owner (Print)
ivy c
Owners Signature--
Attest:
ignature
Attest: _ .Aj _
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
V& e 621.7 Av e�
"'* 44 r re.+ /
� Ta Bs'
WASHINGTON COUNTY SANITARY DISTRICT
A/41%, 33 West Washington 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:
- C7Z- ,Y f 1-141-1 n 1
f
-kd rress a I Gz,c �c
ed aC'
Propetty Owner
Date /O - /-1K -- 8
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
Date 10112 /d=l
WASHINGTON COUNTY SANITARY P4,STRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATER."i
CONSTRUCTION RECGRD
Project: MaugansvilleZOrchard Hills S015 -1—S
13931 _(�-�
Street (or location) : --a4-q_, (] F, �_ -A) VJ&dc. d • Shafi cr ge,01)
Contractor: Callas Contractors Inc.
Date Installed AJn u 1 74 19 R3
MH 3y7 TO ISH 339 ./
Wye Ste. On Main Of 9z L
WYE
-SIZE
SIZE-•
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH .�
S x 6X8
6�� �iDvc
PYA*Harz.-
Total
y.8 y VF
a
St d.
J( LF
sOR 2�
!3, ?V
uow
ape + Ho — otal
Drop
NOTES:
Depth of Cleanout /, 8y ' Sflow Line
Cleanout !1, 11 from
Layed @ g , f: ro
A1, Basement Service
MH f 3LI7 (77'.9;10f9ZL MH#33y
Amounts pertaining to Work completed this per' d, reviewed and approv .
BY �l� pe.p P L _.... ,r......
WCSU Insctor Contractors Rep.