HomeMy WebLinkAboutLat_13912GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWXER SYSTEM
_ f3�i i� 1311 �,
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
PERMIT NO. 286
DATE October 9, 1 84
SUBDISTRICT N® 15
T °- tz,T.���,s�vT:i.11a,lOr�h�trd
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public seweragelw,�JMsystem (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 Q S
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: 1�J 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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By: Date
DISTRIBUTION: Permit
-F
Plumbing Boa
Field Offi
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWER LATERA -1
UASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project: luau ansville Orchard Hills SD15-1-S
I Yl 13912- �t E
Street (or location) : *94 e�Z• U&
Contractor: Callas Contractors Inc.
Date Installed Z3 nEEZ- 8
MH 351 TO MH 3577- ✓
Wye Sta. On Bain Z419.y
WYE
SIZE
SIZE--
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
►U
*Horz.= Total
�.
w G T-
Ii. 58 vc
Std.
'3U.g4
3 3.� 1
e5 � � Z.
S Z io
TDP
07
'-M
ope Horz=Tota
Drop
NOTES:
0. P
�
q } 8
c:•.+c¢ 558'
8~
M'LJ� 31 aj�'
Z' 3'
Depth of Cleanout S-`'� VF C2,Flow Line
Cleanout _31-g% From > S•S MA.A"
Layed @ 5 '
U
�o Basement Service
�, a.• FLCrJ ��
v— IN
MHj' 351 t, MH# 3577-
s
�L
Amounts pertaining to work completed
BY
QJ' WCSD Inspector
'*arm WCSC-6)
this period, reviewed and approved.
I%men t;&! oGaw
P
Washington County Sanitary District
SEWER SERVICE LOCATION
MAOSubdistrict No. SD#15
3�� Contract No. SD1 5-1 S _
Property Address: -a2-1—Greenfield Avenue
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.
�s
- R/W t
8 AN 40'R/W
— R/W
3A
f
wJ
446A
(321)
LAt S?►1 u E pdo J Bo /3 y
o,a,jr,rz ii -7 -83
r
L _I_
P 0 VJ - ----- 6 W
MH SD15-
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: Z2 gZ- $esn/%�Pt i1pl-S.--
Owner (Print)
Owner s ignature
Attest:
4anash.Co.itar District4ash
(Form WCSC-1)
Replaces Form WCSC-56
1/116,0 C3.2 /) 6,e,-eA)F1e1-b A06.
WASHINGTON COUNTY SANITARY DISTRICT
XI33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
P/a,us c.4// Fore
1 RTee,a l ro t3E
7YL FT.iEEP
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address ,
Signed
operty uwner
Date/ i�_�- 3.C;-, / X 7 3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD1 50-1-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