HomeMy WebLinkAboutLat_13836GreenfieldAvenueWASHINGTON COUNTY SANITARY_ DISTRICT
33 W. WASHINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
( ) Units
(301) 791-3083/3084
To Main Line:
Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
To connect to a public sewerage/water 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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Inspe or
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
w
CePY:�.
Property Address:
MH 347 to MH 349
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD. #15
lag 3LO Contract No. SD15-1S
-24-9 Greenfield Avenue
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.
I
439
(219)
- 8„ w _
8" SAN. UH SDIS- 349
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:
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
fir..-
owl', WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown,IVVMaryland 21740 ■ (301) 791-3083
11
To: Callas Contractors, Inc.
PIA -u -S eA// 0,0e -
ILATe-RA / To ,gam
I hereby request the contractor to install the lateral in
accordance with the following conditions:
`Address_ W-
Signed /3
Property Owner
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,
Approved by W.C.S.D. Inspec or
Date_
c
1l�GTON CCU;: i Y SJANi iARY^ S i f'IL'7
UASHINGTON CONTY, MD.
Project: MP uoansvi11uIOrchard Hills
I "i 7G-7 - -
Street (or localk;ion):
SANITA R`( SE;'C-)
CONSTRUCTION REC
SD1 5--1-5
C-- 4s y -j0)
11h
Contractor: Colles Cnntract;ors , Inc. U `J
MH 34-1 �TO !,H_ 341
Date Installed y -"
----2--.AN — a_q ....-.._.. LIVE. Sta. 0 n Main—Z431-5 LFT'
L1Y-
SiZE
rX&Ng-w"
NOTE 5 :
6"
PvL
/1L
ai/-L-- ! 1 Y4 -'L DLP 1 H
TYPE PIPE
C , O_-- --C
Ca'
PV 4- PNl C. 1 11.5 VC
f y P E
L^TE:RAL
St'd.
Drop
IS
E:XCAV.
LENGTt1
L.AYi
LEN T! _
�,E!crz,= Total.
Z 4.84
ape + H o r z =J ota
Depth of Cleanout 11.15 E to . Line
Cleanout Z'% From ,,- `
Layed 0r Z�,
'tnWAOWN Bascment Service
PIH" 3`-1^1
Z;31.s fr, H.' 349
Amounts pertaining to work completed peri d, reviewed and approved.
BY
CSu in3Poc; t or Con tars Rep .r_