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HomeMy WebLinkAboutLat_13844GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER 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 To Main Line:— Units 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 SF9cifications. 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 C11 Ili Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Date � 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 Hagerstown, Maryland 21740 Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Bo Field Off i Date U"ASHINGTON COUNTY SANITARY STRICT UASHINGTON COUNTY, SID. SANITARY SEWER LATE�:i=L CONSTRUCTION RECORD Project: Maugansville/Orchard Hills S015-1-5 t3,gyy Street (or location): 2--e4- G R F_N Fi a R tiE Contractor: Callas Contractors, Inc. J_" r 3�����' _ MH 3 q1 TO MH 3 0 / Date InstalledE_ c I ©15_$_3Wye Sta. On (lain 1-t94/_t7- WYE SIZE-- TYPE DEPTH TYPE EXCAV. LAYING SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH _ ro sDR *Horz.= Total pec am.. NOTES: ope + HorJ,x--Iota Depth of Cleanout S 1-ICSFlow Line Cleanout Z-'/. &6 From L a y e d fl . /16 Basement Service MH'r 349 srA. +yy M N„' 350 Amounts pertaining to work completed this period, reviewed and apprz ved. BYJ--.,i J.l..a_2i� r a ....,..-- WCSU Inspector Contractors Rep. 't'w:, l j.?r 7' 10 r ,JOW Property Address: MH 349 to MH 350 Am%, Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1 S �3gy� --Greenfield Avenue DwR. #601-067 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. 4 4 (2 (2 ) I I I �- FSD15-34SL 8I SAN. _ Mh �. C1 c The undersigned agrees that the Sanitary District may c excavate an additional five (5) feet inside the property ci: line so as to facilitate, and make less expensive-, the owner's e connection to the lateral and to prevent damage to the cleanout _F which will be installed by the District at or near the property line. Date: / _. Owner (Print) Owner 's Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) -56 Replaces Form WCSC q14 (.2 G2Ec,vF1ELP/Au5 CA// 'C'402 Ta BE /O Fr >EeA 0", WASHINGTON COUNTY SANITARY DISTRICT 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: J Address_'��"� n Property Owner Date Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 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, Inc&4,2r Approved by W.C.S.D. Inspe or Date I