HomeMy WebLinkAboutLat_13913GreenfieldAvenue-WASHINGTON
33 W. WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT PERMIT NO. 354
HAGERSTOWN, MARYLAND 21741-0571 (301) 7 91-308 3 1 3084 DATE I rt I !
PERMIT TO CONNECT TO PUBLIC SEWERAGEI.1 ATiER SYSTEM
Permission is hereby given to: Ufi 1 id MILS tic
For Property Located at: 3 18 CrPAnf I t1I d A► 1PItt10
SUBDISTRICT No. 15
Maugansvills Orchard
Hills
Owned by: a Antc Address: k.#ty,—Box X23 -;—Ha ei^S`I;9w!'�-F
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
,) Units
To Main Line:
Other
Industrial
Meter Size Connection Fee -_ Date Paid i - 1 3-o4
To connect to a public sewerage/KalHr 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.
a," Q. 0 (L- ,Q -
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: Date 2d
Plumbin Spector
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: Permitt
1 Plumbing Board L;.
Field Offi
Date
L'ASHINGTON COUNTY SANITARY, '[STRICT SANITARY SE;JCR LATE ','=
UASHINGTON COUNTY, MD.CONSTRUCTION RECORD
Project: Riau ansville Orchard Hills 5015-1-5
Street (or location) :
Contractor: Callas Contractors, Inc_.
v
MH 3 Sz TO MH 3 5 3✓
Date Installed &tee /7>5�3-- Wye Ste. On Main 0450. /Y
WYE SIZE— TYPE DEPTH TYPE EXCAV. LAYING
`S-IZE
TYPE P.1HL C.0. C.0. LATERAL LENGTH LENGTH,
sx6x8 Gds DR z6 *Horz.= Total ._.
�.rl V i St'd. t O �� i
� . S� 1. F
al
Depth of Cleanout 6111 `f lou line
Cleanout i G. 5 3' From C 6F M A 1 N 14 N e-
--
Layed �p o
No Basement Service
5=AO qo 2
MH 3 �z I H1H;,--' 33 3
Amounts pertaining to work completed this period, reviewed and approved.
B Y r a..v �Z �
UCSD InapecLor Contractors fiep. ''
CW
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
�3q
Property Address: 3.1$ Greenfield Avenue
MH 352 to MH 353 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.
POW
MH SD.15-
�:. 8 SAN.
u►r ITKcE
13-1 o.aa�es- ��-�•as
452A
(318) Z
c L
O r
L
O , .
O
O
E591,250
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. q
Date: / 2 Z g Z 1304/)+R J4yj5 - -::pv c . _—....._
Owner (Print)
Owner's Signature
Attest:
W.
ash. Co. Sanitag District
(Form WCSC-1)
Replaces Form WCSC-56
P/A.1Js C,4J/ FOR-
60-
F7.
oileEFT �� P
3 5 °-
COUNTY SANITARY DISTRICT
WASHINGTON
ngton Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
33 West Washi
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following condition
Addr(
Sign,
Date
Washington County Sanitary District
33 West WashingtO Street
n
Hagerstown, MAY
Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Re:
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.Sr.
1.D. I
Date 1