HomeMy WebLinkAboutLat_13839GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGERMUIMSYSTEM
Permission is hereby given to: Robert E. Shank
For Property Located at: Z22 Greenfield Avenue
Owned by: Robert E. Shank Address
Type of Connection: To Service Connection
Type of Service: Residential X
Commercial
Meter Size
Connection Fee
(301)791-3083/3084
I
PERMIT NO.
DATE
SUBDISTRICT
!i Augansville/Orchard
Hills
Maugansville, Maryland 21767.
P.O. Box 364, Maugansville MQ 217b7
To Main Line:
(i ) Units Other
Industrial
$620.00
Date Paid
To connect to a public sewerage/wjdM (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.
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
Sq is_
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: %.k" lz Date ]g -
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office 1
Property Address:
WX
Awk
Washing ,n County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
Z�-8' l 3 8'3�
Greenfield Avenue
MH 349 to MH 350 Dwg. #601-067
Place an 'Y' 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.
0
I
0
lD
C9
W
W
W
i
St
Z
0
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_�&j (Print)
Owner 's Signature
Attest: s S
Wa n. Co. Sanitar District_
(Form WCSC-1)
Replaces Form WCSC-56
Aft
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
. /!
To: Callas Contractors, Inc.
P/.o Ns CSA/1.. F02
I-ATEQ$1 Vb 6E
13Ft�J�*t0
I hereby request the contractor to install the lateral in
accordance with the following conditions:
S •
Property Owner
Date //- i "V • "r3
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 Contractor
Approved by W.C.S.D. Inspec
Date III Z 1
�/, i�--IMINu M-
WASHINGTON COUNTY SANITARY ISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER L;�TEt
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
Street / 2-� v9
(or location):
ri t Av 8
Contractor: Callas Contractors Inc,.,, %�
Date Installed 4gG R , 99 -T
MH 3YF TO MH
Wye Ste. Ori Main e7,:Zl�_T'L-.
WYE
SIZE
SIZE–
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYIfG
LENGTH
8x 6X
Z('
P'E.C,
*Horz.- T
/�oC,
N, 2Z VF
St'd.
*Slope -+ Horz=Total
Drop
NOTES:
2o.go c -F
8. q q +- 11.8:3
2O, 82 I-F,
LR
Depth of Cleanout ZZ Cf lcw Lyne
Cleanout -1-1-1, 1-3 From —oF- LINIF
Layed @
-14A)KA)OCO N Basement Service
MH;' 3K4
Amounts pertaining to Work completed this
BY
WCSU Inspector
5Tl1't- 1+0 7, 7 RT
MH# 3510
period, reviewed and a roved.
Q"-, e, _
Contractors Rep;...,_ ._ ..