HomeMy WebLinkAboutLat_13922GreenfieldAvenue'WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33& WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
RO. Box 571 DATE
UBDISTRICT 1�0• 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWW;7i "SYSTEM �tiati;�riSV2 C�Yl`xI'C
'
Permission is hereby given to: Joanne P. (Rider)' iiyi<�S 11S
For Property Located at: 325: greenfield Avenue, Maug. syi i P, Mai'ylanu
Owned by: iykes(RiderXddress: 201 g�.'I ;.'=` s L)tiya ;Wagerstoan J0 21740
Type of Connection: To Service Connection
Type of Service: Residential ( ) Units
Commercial
Meter Size
Connection Fee
To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage/3r 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.
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
Plumbing Ins r
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
Field Office -
'i
Date
r
rA
C iT4 WATER I
ll-
SO1L -?IPS
f�srrrr Fes-.
Property Address:
3I� 002 Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
�M d'L�—
Contract No. SD15-
I
3-2-5 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.
447
(325) I
i I
I r�
g.01 M�—
0
S015-353
i
CAT V —�
i L,r
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: v _tJOAAIR E P IC ll>C-.e
Owner (Print)
��..
Owner's Signature
Attest:
�i b � toq-
Wash. Co. Sanitary District
(Form WCSC-1) 1d —kL4 ` C
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY-=-TSTRICT
WASHINGTON COUNTY, SID.
Project: Maugansville/Orchard Hills
Street (or location): �a �- F1
SD15-1-
SANITARY SEWER LATE I'.
CONSTRUCTION RECORD
44
Contractor: CallesContractors, Inc,
MH 352 TO MH 353✓
Date Installed V 83
_ Wye Sta. On Gain Z-�U�•SLr-T
WYE SIZE- TYPE DEPTH TYPE EXCAV. LAYING �
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
(v"ST>7- 2lv '*Horz.= Total
7
-NIC Ne- . z8 .4pStd. ZGi
F . So Z (a. 5v
NOTES: I
Drop
6�� TV
d.r o
W.�
Z4
Depth of Cleanout Sf lou Line
Cleanout ZLA.50 From
Layed 0 2.0
u"t1,iS2\ywl Basement Service
MH ` 35Z
t
z&.50
ope + Horz7-,To
t
MH# 3S3
Amounts pertaining to Work completed this period, reviewed and approved.
By OL44- V—L-fo'� -A ev'zi*z 222
WCSU Inspector ol Contractors Rep.