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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Poll Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit
RES
Sewer
Permit No. SCP 150-1112
Subdistrict Name
Issue Date 410 1192
Mainline Contract No.
9 _
Void Date
Building Permit No.
2Subdistrict
No.
Permission is hereby given
NOME
CONSTR CORP
Property Owner:
of address:
For property locatecj l:
1 1909
Street yddress
Lot No.
Subdiv.
Phase Sec. G
Owner's Agent:
CHARLES M
& JOYCE
R LEE
Agent's Address:
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline)
Date Fees Paid
7Z4789Residential
EDU'S
WCSD Dist./Coll. System
Fee
$ UU
Commercial EDU'S
WCSD Ready to Serve
Fee
$
Gal/Day Allocation 200
WCSD
Fee
$
Building Number
City of HAGERSTOWN
Fee
$ 420
Utility Number 1501527
Total
Fee
$ 1920
Remarks
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permitdoes not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS, STME LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWIT WITH E PROPERTY OWNER-�
Signed: T Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3072
Inspection Date: S 28 Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
Permits Office
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
City of Hagerstown City of Williamsport
WCSD O&M WCSD File
— Plumbing Board Plumbing Inspection
�zsAa US73
Perm..t No: 92-19.1 Applied: ,3 3 0, 199Z
Permit Type: RES -NES! ApprOcrnd;
StatuS: PEIIDIIIG
Job Address: 17909 BLUEBELL DRIVE HN
Location: S-88-097 17909 BLUEBELL DRIVE
Parcel No: 024-14-IQ96-0QQz1 �71Oviu-n 5 o� �C. (n.
Zailing Dist . RR p
Applicant. LEE CHARLES M & JOYCE R cr.e '3:nner. 301-797-106c
1052 VALLEY BR00K DRIVE
HAGERSTOWN , MD 21740
Owner: LEE CEARLES M & JOYCE R 301-197-1066
Contractor: H014E CONSTRUCTI0N CORP OF ?AG (301) 133-0323
Description:
2 STORY DWELLING FULL BASEMENT ATTACHED 2 CAR
GARAGE FRAME CONSTRUCTION PATIO 14X12 ON REAR
Valuation: 142,000.00 Construction Tape: STIC
Foundation Size: 38X30
24X24
e of Heat.... FhA
,iic Seger.... Y
Public Mater.... Y
Gas............. N
Electric........ Y
�Ie:a Eat.._ . 2 . 2
SETBACKS
Lot Tract Area
Lot Area Per Farally
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback
Lot id_dt"
Exterior Finish.. VINYL SIDING
Air Conditioning: Y
Septic...........
Time Existed...
Well .............
Tine Existed—:
Tota: Bedrooms: 3
Ne:•r Bedrooms: 003
Proposed
.=6 ACRS
. 44
All Dias
35.001
75.00
2:.001
25.30
141.03'
t 1a1T.un. b7 0rdina^ce
2'0.300 S FT
30.00
40.00
10.00
Tale _ ~ gnat- re bel'Og b" :"A- !'c'. -?:de_ _s a:"
g
1 _
has 3_nedthe perT?t app__ca:_on signature sheet a^dt�:ereirl agrees to
'Perform t'rlc wnCk _" accordance gullla-3-..nditl0... 0- t:1i_ pec-,
Pa . g/, / eon -4 ?ro
&LL i 500
EaVE
MAR 3 t i992
WASHINGTON CO.
Sb 1�J0
mlor nlkt4
LTo13 ti4o, C -V2- Z1
I Of X10. ZI
I
�DaFcrr
C-4
L
pRIYE
Z�NF,p RR
BF
Basement floor
WV
Invert +
5Chz.. 1"=;;O'
B/L
�d.9 W-4
IP
ken Din
C
Top of curb
LL
Lower level
CF
Carport floor at house
LP
Low point
CMP
Co rented natal Pips
MH
Manhole rim
CO
Clean out
MO
Monument
CPT
Carport
P
Porch/patio floor at house well
CS
Crawl apace
PEO
Pedestal, utility
ON
Concrete walk
PI
Pipe Invert
DR
Driveway
P/L
Property kne
E
Existing grade
R
Rock
EL
Electric
SS
Sanitary sewer
ES
Edge of paved MoAder
ST
Street surface
F
Proposed Mash grade
SW
Swab Invert
FF
Finish poor of First floor
T
Transformer
100 year flood plain
TF
Top of foundation
Foyer Boar
TP
Transformer pad
r ��I
GAR
Cage
TS
Top of stake
('a] A%iU rIoN
GF
Grage floor
W
Water
( CK P
HP
HO Point
WS
Water service cover
3- 2- - q Z