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WASHINGTON COUNTY SANITAR-Y DISTRICT PERMIT NO. 171 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE P.O. BOX 571 SUBDISTRICT - No.. 15 !-el@ lard PERMIT TO CONNECT TO PUBLIC SEWERAG E/WATERSYSTEM 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: ( ) Units Connection Fee ij lob To Main Line: Other Industrial Date Paid To connect to a public sewerage/r 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. i' 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: L Date 0 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: Permittee I Plumbing Board 4 Field Office WASHINGTON COUNTY SANITARY 004STRICT logsSANITARY SEWER LAi'Et-' WASHINGTON COUNTY, MO. ' CONSTRUCTION RECORD Project: Maugansville/Orchard Hills S015-1-5 1 S'f 3ts Street (or location): X3-1 13 tut MT ,DRi,,/E (&,gm 33/ ) Contractor: Callas Contractors Inc. MH 377 _ �TO MH 378 Date Installed ! z - / $ 83 Wye Sta, On Miain f Z 7� R NOTES: EPIPE C.O. DEPTH C.O.C.OLATERAL I TYPE I PELENGTH 6" pyC- 6..pyC- 9.. MJq/N Drop LENGTH ZHorz.= T ..al. xblope+ Horz=total zs z5' '_ LF-4nl ou T Depth of Cleanout $• no • '7EFlow Line Cleanout Z(3.75• from Layed @ L-5 lo-r&e 17R o UAI, MowAl Basement Service /fZ8.7 R MH` 377 O y H1H# 37a Amounts pertaining to Work completed this period, reviewed and approved. WCSG Ina dctor /Corftractors Rep. P /.-n.•r. 1;)f -'i,- 11 � Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15-1S i3g3(� Property Address: -3-3-1. Blue Mountain Drive MH 377 to MH 37f) Dwg. 4.6(11-044 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 location. E 51 33 © 3 a (331) r1 ® r F0 I II Cn 8" SAN. o' Ri w M H S D15 - 378 .0. 811 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: Attest: (Form WCSC-1) Replaces Form WCSC-56 VON& /`' rnANk r 377-328 WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: i � %o %'/, - j= zot"'V L .o"9"o /l ®e.,0, -- ;"q /' Date -5�1- Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 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 Contractors, Inc. Approved by W. C . S . D. Inspector'40'6i, el' Date �2