HomeMy WebLinkAboutLat_13835GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.
DATE
SUBDISTRICT . NO. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEI SYSTEM laugransville/(brehard
Permission is hereby given to: k4afgj' iHills
For Property Located at: ' 12 Greenfield A(enua
Owned by: 'glade C Shaffer Address: X12 Ure,�
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee 1620 .00 — Date Paid
To connect to a public sewerageH t�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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No.
Secretary -Treasurer
/'�_ . 0' 1
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: Lt) �_O.A A Date l- 25 -
Plumbing
5'Plumbing Inspector
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:
DISTRIBUTION: Permittee Plumbing Board 4
Field Office 1
Date
A
to
0
CIT Y
w.4 -rE R
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
1335 Contract No. SD15-1S
Property Address: -2-19-Greenfield Avenue
MH 347 to MH 349 Dwg. #601-066
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.
— - } 8.1w NCO
_
8SAN. MH 0I5-349 8 � SA
459
� (218) �
- a
�3
Z
�I
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. r
Date: 12 ��
-.'-' %��' f�2' U d�✓�Y� _.J .
Owner (Print)
Wash. Owners Signature
Attest:
Wasas Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Gee6-A)FIgtD 406- P/QAJ5 Call goe
o J-ATE-eA / Ta e
WASHINGTON COUNTY SANITARY DISTRICT
41 7ii
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 follc::ing conditions:
,P>-igned
Z.Property Owder
hate%,� `�
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
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, Irjc,'-�� J.
Approved by W.C.S.D. Inspe
Date
WASHINGTON COUNTY SANITARY01"kSTRICT
WASHINGTON COUNTY, MD.
AAS SANITARY SEWER LATER -RL
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
Street (or location) : C�/2FEn� F� r �n /� u c 6A,T 9 6-1?
Contractor: Callas Contractors, Inc
Date Installed nEc- 7. 11-93
r)ara 37 1`Q elc.0
MH TO MH 3Y9
Wye Ste. On Main Z*Z (, z_( �""
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
$X 6x8
�1502 Z�
Horz.= To
PVC
5;6-7 VF
StId,
Pvc
S ope + Horz=Tot 1
NOTES:
Drop
ZZ, So LF
ro, 17-r /Z =
2 z. f 7 f'
A
\ID'
Dep�h of Cleanout S", G 7 Ce -Flow Line
Cleanout / 7, S S' from T o F InR i N L 1 N E
L a y e d @__a _- 2 S
• Yrs Basement Service
,;vA
AS
MH;' 3 q `t
Amounts pertaining to work completed this
B Y &.c 3 a
WCSU Ina pecyor
Form b)CSC--'. )
M7i` 3 V I
period, reviewed and pr v_�f.
)"O, d
Contractors Rep.