HomeMy WebLinkAboutLat_13855GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE9Mff3MSYSTEM
Permission is hereby given to:
For Property Located at: 234 f'reelbield Ay+aflue, M I1rallsvI e M11
Owned by: KE 01119 T :l r i i e Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
PERMIT NO. 1 f)
DATE A U y U L
SUBDISTRICT Ne. !1.*5
maugansville /Orchard
Hills
To Main Line:
(j ) Units Other
Industrial
.P020.60 Date Paid
To connect to a public sewerage/22M 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.
Building Permit No
-4 eaxLns
Secretary -Treasurer Pak 06Y
INSPECTION: At Feast 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 G
Final Inspection Made BY: Date �^ o 9
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 1 Plumbing Board 4
Field Office 1
Date
r
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
j3K'55 Contract No. SD15-1S
Property Address: Greenfield Avenue
MH 351 to MH 355 Dwg. #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.
MH SD15-350 I 8SAN. DMH SD15-351 ,
Mr
�a
(j _ 43" x 2 7" S- 24 S f
TI rr;7--T- I I C.B.INV.619.1
II� I I C.1( (
NV- 6176 C.B. INV.
;i
4 5 4 I Q
0) (234)
n
r ^� I 00
L- -J X
f w3
W
Z_
W
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: f�� 41
Owner (Print)
Owner's Signature
Attest: � �X�p
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�,T3XINGTON COUNTY SANITARY C"'TRIET
UASHINGTON COUNTY, ISD.
O%ANITAR`( SEUL„ L„7E�4"•1
..ONSTRUCTION RECGi�E;
Project: Maugansville/Orchard,Hills SO15-1-5
Street (or location) :
Contractor: Callas Contractors Inc. �,
Date Installed
MH 35i TO MH 351-.E- ✓
WYE, Sta. On Main e
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPO
LATERAL
EXCP,U.
LENGTH
LAYIlJG
LENGTH
gx6xg
61"SP9 zG
*Horz.= Total.
St'd.
aD c F
�7.G6
r
NOTES:
Drop
nwar ,c.�.riw
*Slope+ Ho =Total
�' S1 0
t'.1 ti
y2
15-Tu8
Depth of Cleanout 6,L2CF'low Line
Cleanout 15. 6(,' From c or M A I N L IM E
Layed @
No Basement Service
61AAv r��", 3X
MH;i 3 �- I
MH#s` 9 s`ST
Amounts pertaining to work completed this peri d, reviewed and appr_ov
g�
B Y � .IsLRR � vZ ¢ o, i3
.._... _ ..._...
WCSU Inspector Contractors Rep.