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AS`KINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEMAM SYSTEM
Permission is hereby given to: D o n a l d J l a n e'1. 1
PERMIT NO.f_�
DATE
SUBDISTRICTNO• 15
q Maugansvil e 0rehard
j 3 10 Hills
For Property Located at:
Owned by: Donald j.
213 Blue
(fit Ay e, P+18 U L, . w i l l?, M a r y l a n U 2 1767
Cian2111
Address: 2131U2 M [?y'1y6, P4auransV1125ND 21751
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:_
Units Other
Industrial
$620.00 Date Paid
11/6/.84
To connect to a public sewerage 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-Treasu�e_r
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 3/7
Plumbing Ins ctor
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 Board `+
Field Office 1
Date
I ! r. � n 1; 1 I !,1 'r � �[ �(� � l•2.asu.�l r � j.^Y 1 " 1
WASHINGTON COU,. Y SANIT^y ( STRICT A*%k SANITARY SEWER LAiU-"!
UASHINGTON COUNTY, ISD. CONSTRUCTION RECCFRL
Project: Maucansvillel0rchcrd Huls S015-1-5
Street (or location): 13 E _rA_Q+„W4-r fq La A T
Contractor: Call2s Contractors Inc.
MH a- 2._....T 0 MH �?a
Data Installed 7-_i Z- 8,3 Wye Ste. On Main
WYE
S I z E
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYiIN
LENGTH
8 ••� 6 ,.
(•. O�
*Herz.= Total.
PJ C_ S. ¢¢�F
St'd.
LF` c6
Soe 3"
Soa. Z6
S oHorz=T dj,
Dro
NOTES:
L.o.
�J
s .r,.8
Depth of Cleanout S. 444 ..�C.FloLl Line
Cleanout From sz.JEG r/ArJ
Layed @ G.00
0 Basement Service
C.o
MH;,' ,teJo G�OJ
M H ' -7-2a
Amounts pertaining to work completed Unis period, reviowed and approved.
BY
L;CSL'.; _TriJrpcctor Contractors Rep.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
t 3gDz
Contract No. SD15-1S
Property Address: 24--a Blue Mountain Drive
MH 22n to MH 22Z Dwg. #601-044
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 loca io
C d'l
A"1 i� Cpcq j eoN
0 Zylg �
4,
LO
O V
0 _
— — 324 Q
o (213)
CL
N _ R/W
MH SD15-222
F.N.
--
8° SAN. 40' R/W
Bel W
Li
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. It
Date: -�f U �_!, ✓ (..1'�
f er (P
V/z
Owners Signature
Attest:
Was o, Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Alm &-.o// Fo.P
c.- •►. � � ATS iQA� To ,B�'
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Ire.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address
ci a,�pfl
Pr er wner
Date
790
Washington County Sanitary District
31 West Washington Street
.iagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Gentlemen:
We hereby request per:gission 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 Contractors, Inc.
Approved by W.C.S.D. Inspector L.
Date 3