HomeMy WebLinkAboutLat_13902GreenfieldAvenue_~WASHINGTON 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
(301) 791-3083/3084
o
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 SF,2cifications.
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: or
_._ Date.
Plumbing I ector
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 Board
Field __ Offi
"U'ASHINGTON COUNTY SANITAR ISTRICT om% SANITARY SEWER LATERA -1
WASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project: Mau ansville Orchard Hills S015-1-5
I3go2 cep
Street (or location) : / �.� p _ S , e, ��„�;,. � t..
Contractor: Callas Contractors Inc. (� /
L)
Date Installed_.Ot c i
MH 33-i TO ISH '35-2- ,/.
Wye Sta. On Main I i -O I_2 _L_L.�
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
Ex r
� smzr.
F
*Harz.= Total y
k s
p VC,
5, z 6 v
S t' d.
o i..F
*Slope -+- Hor - otal
Drop
NOTES:
Depth of Cleanout 3; z6 SFlow Line
Cleanout zy, ,-v' From of 1?741N <1Nz
Layed @ /
Basement Service
MH ' 3s
SrA 401,-Z -
MH# 3 s -Z.
Amounts pertaining to work completed this period, reviewed and approved.
8 Y
WCSD Inspector Contractors Rep.
C N ac K M IN DEPTH CST �f
i6L&kR)&1ot
vJ AT t✓ �
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15-1S _
Property Address: 46�e'=ems ue Fftfl- Gree,, ,-Iel� Ckie,
MH 351 to MH 352 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.
I
4rn
45
I
(160)
Iun
SI 1
3327
FH
620,00
8° SAN. DMH SD15-351
18"s
I I C.B.INV.6t9.1
CB. INv.619.
I I I
it
L —
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: /2/ / z �2_L_Lro A n I/l! EIA ✓F R
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Ll 4/-T �'/60) !E-. PeEsTO.v 4V C -
10/4 AJ S C A I/ FOR
A L}0 I.VLATERA I -ra BE'
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:
-Address_/�42t'��
Signed j -7f /�� �,"•�.�
PPoper y 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 Con
Approved by W.C.S.D. In
Date ��0 In