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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit
Carol Sewer
Permit No.
Subdistrict Name
Maugans-.'i 1 1 —,
Issue Date
Mainline Contract No.
S-150-191
Void Date
Building Permit No.
90-0649,-0451
Subdistrict No.
Permission is hereby given to:
Property Owner:
of address:
Erie Insurance Gra
100 Erie frisur
f?r•i.e, PA 16530
e Plaee
SCP 1.50- 1061
6/1.2/94}
15
For property located at: Breeze Hill Rd N/5 Street Address
Lot No. Subdiv.Aj rpprt; Bus i nes:; Pai,k —Phase—Sec.—
Owner's
haseSec.
Owner's Agent:
Fox & Associ.ates
Previous Owner:
C' . 11 . T . E. F.
Agent's Address:
Fees Paid in Full?
y'es
Lateral with Mainline? n0
Date Fees Paid
F� /'? 1 ctt7
Residential EDU'S
WCSD Dist./Coll. System
Fee $ -1500
Commercial EDU'S 3
WCSD Ready to Serve
Fee $
Gal/Day Allocation 600
WCSD
Fee $
Building Number i
City of li agerstowt,
Fee $ 1260
Lateral Contract No. 81,-150-1014—
1.-150-101Total
TotalFee $ .5760
Remarks 1'F:r ini , -s i t.f- ;,e>ntractor• t.n call
Denny Enjg1F at 223-9416
r)rJc,a- t.r; arta setaer latpral c°onstruc�tion off site to maim irjt
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 permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS,ATE AND LOCAL, MUST BE OBTAINE9 BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH,13EM�AIJ�IS,W�ITFJ{THE PRg1PERTYOWN ER.
Signed: V l/ V W () L ADate: ✓
INSPECTION: At least 48 hours notice prior to requested date is required.
agers own, . 1740 Phone. 791-ovt
�/
Inspection Date: p
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
H t Md 2
-_
� Plumbing Inspector •.••GG�C�-
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 WEfla#rte,rti [
WCSD O&M WC,59P � ;
Plumbing Board Plumbing Inspection
dRIf 0
WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit COml Sewer Permit No. SCP 150- 1067 _
Subdistrict Name Maugarlsvi l 1 /nH Issue Date 6/ 12/90
Mainline Contract No. S-1,50-191 Void Date
Building Permit No. 90-0649-0451 Subdistrict No. 15
Permission is hereby given to:
Property Owner: Erie Insur-ance Group
of address: 100 Erie Insurance Place _
Erie, PA 16530
For property located at: Breeze Hill Rd. N / S Street Address
Lot No. Subdiv. Ai sport Business Park Phase-Sec.-
Owner's
haseSec.
Owner's Agent: Fox & Associates
Previous Owner: C . H . T . E . F . _
Agent's Address:
Fees Paid in Full?
yes
Lateral with Mainline? 110
Date Fees Paid
5/21/90
Residential EDU'S
WCSD Dist./Coll.
System Fee
$ 4500
Commercial EDU'S 3
WCSD Ready to
Serve Fee
$
Gal/Day Allocation 600
WCSD
Fee
$
Building Number 1 _
City of Haaerstown
Fee
$ 1260
Lateral Contract No. SL -150-1014
Total Fee
$ 5760
Remarks Perini,
site contracAor
to call
DennyEngle at 223-9416,
prior
to any sewer,
construct,ion
off site to mainline
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 permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS, ATE AND LOCAL, MU BE OBTAINE BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWIT EM SIT/{T�tH�E�PR RTYOWNER.
Signed: "c' t/ �Z 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:
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
WASHINGTON COUNTY SANITDISTRICT
WASHINGTON COUNTY. MD.
SANITARY SEWER LATERA
CONSTRUCTION REPORT
Project:- i�l SUi
C --r e044�
1'50 - �
Street (or location): 7L9*zE,
Contractor:,/ti//
Date Installed —ZO - 90
SM AC I'U TO MH
Wye Sta. On Main AIP
WYE
SIZE -
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
T19 -j TO
M,40J4G E_
42
,Ae_
ST 'D.
� Zo'B"sTu/5
Horiz. Total
NOTE
Depth of Cleanout 8� S df at Flow Line
Cleanout From
Layed at .Z 90
1-4 :5 Basement Service
JimDuCF�2 �o`Z.Z
��
MH
Amounts ining to work -completed this period, reviewed and approved.
rta
BY �a*_�
WCSD INSPECTOR CONTRACTORS
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
Z. 2 Tota
Lr- TO FDe,E ;wiUA►�
REPRESENTATIVE