HomeMy WebLinkAboutLat_13931GreenfieldAvenueWASHINGTON COUNTY SANITARY DISTRICT
3,�„YN. WASHINGTON STREET HAGERST0WN.MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
PERMIT NO. 328__
DATE
SUBDISTRICT No 1
Maug vil:l� Orchard
Hills
Property Located at:
X326 Greenfield Avenue
"AFor
� \
Owned by: Aj.ch nl
Weyor Address:
P.O.
Box 61, Maugansvi l le, MID 21767
Type of Connection: To Service Connection _ X
Type of Service: Residential ( 1) Units
Commercial
Meter Size
To Main Line:
Other _
Industrial
Connection Fee $620.Ju ,._ Date Paid
To connect to a public sewerage/vvWM 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 l'
Plumbi gnspeclor
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 Plumbing B
Field Office
Date
;WASHINGTON COUNTY SANITARYe4STRICT SANITARY SEWER LATER
WASHINGTON COUNTY, ISD. CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1–S
/3'731
Street (or location): FiccA +_
Contractor: Callas Contractors Inc, E_li K it
MH 3S-1qTfRMT --ftH zoo°
Date Installed' Occ,_ 1 S,1 C 913 Wye Sta. 0n Main—l+32
--- - - - --- - -- -- --- --- - - o u ,r. ? q 04 0 0 ra t✓
WYE SIZE– TYPE DEPTH TYPE EXCAV. LAYING
-SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
sDRzc �'Horz,= -al
Nott St' d.
y,SZ Vr
x'3lope + horz= i o
NOTES: Drop 3, 5 L F 12.53+- SS. S' =
�
C8,33L F
A
Depth of Cleanout N. SZ CFlow Line
Cleanout 61' From o f M N 3 §-,q
Layed y o
{aaKNowN Basement Service
z000
SIH,; 3s3 TERM. MH#3 y
Amounts pertaining to work completed this period, reviewed and approved.
BY J–Q_ �
WCSD Inspector Contractors Rf?p.
LATSOL 1 u •,MN 354 Zoo°
Property Address:
MH 353 to MH 354
33 � S � . s� h►a� Ea�o �Al
Washington County Sanitary District-
SEWER
istrict
SEWER SERVICE LOCATION
Subdistrict No. SD#15
IS R3( Contract No. SD15-1S
Greenfield Avenue
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.
/,
D15-353
_--- CA TV
11 FH
SA T
MH SD15-354
o'
/450
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. ZF1.1 Nei( 7", LJ "�)t�_g
Date: La '7 7--) M 16 HiR� E; w"U 5_
Owner (Print) -
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Nomg- G&-"- FIFLb AJE
.•1 3'� 3- 3 �( 4
// 11
-,
WASHINGTON
33 West Washington Street, Hagerstown, Maryland 21740 ■ (30 1) 791 3083
,,a/wvS .a2
1.A7-EQ.4I 7a d6-
COUNTY SANITARY DISTRICT
To: Callas Contractors, Inc.
I hereby request the contractor to
accordance with the following ccx.A;tions:
No
install the lateral in
�,,, Kddr e s s_ 3
B gned 47U-' -'
Property Owner
Date
Washington County Sanitary District
33 West WashingtonStreet
Hagerstown, Mary
land 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 Contractor
Approved by W.C.S.D. Insp
Date_� �l 3 —