HomeMy WebLinkAboutLat_13851GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084
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
1 Units
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 SF,3cifications.
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 [� f
Final Inspection Made BY: _�41t��► 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 Board
Field Offic
Date
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S _
(3 g5!
Property Address: 2.36 Greenfield AvPn„P -
MH 350 t o MH 351 T)w g #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.
._r_ , y
i
MH SD 15 -350 I
i
_ J ' n
INV.617
455
4"
2 I (230)
F
T —
8" SAN. DMH SD15-351 ,
iB
C.B.M.619.I
'CIDt
INV.
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: 2Z _._._
Owner Print)
24
Ower s Signature
Attest: n
Ss . Co. Sanita y trice
(Form WCSC-1)
Replaces Form WCSC-56
yS5 2.30) p/ANS eA/I Foe
F T. YEEP
AW WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
0
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
L. Address }C�� �"ree i d ✓NrYtk�
, .Signed �i1�Gr
roperty Owner
Date /s, y
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. Inspect
Date b 1 I�
uJ'A'HINGTON COUNTY SANITARY
WASHINGTON COUNTY, MO.
'STRICT SANITARY SEWER LATER4
CONSTRUCTION RECORD i
Project: Maugansville/Orcher
_71
Street 6n
(or location)
Contractor:Callas Contractors.
Date Installedw J 7E -C 83
Hills SD15-1-5
Inc
a)�I. �. ,
MH
350
TO MH
351
TYPE
LATERAL
Wye
Sta.
On Main
p-►(oi•S of
RVL
WYE
SIZE
SI7_E—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYIfdG
LENGTH
$"� ,�g•
so2 Z(o
PvG
RVL
75 vg:
i d ,
*Horz.= Total
7 1,90
1 B.Sv
ope + Hor5,pTot
NOTES:
Drop
t
g Z
MIL so 09J
Depth of Cleanout 6?5 vc' SFlow Line
Cleanout I lQ-Sa " From
Layed 0
_ tAQ Q%0%J Basement Service
MH il�' 35Q
Amounts pertaining to work completed this period, reviewed and a
By
�std r .,,` o ,01
��—WC5U Inspector P �' Contractors R
MH# 351
ep.
vp d.