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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/1=TA SYSTEM
Permission is hereby given to: f e r r y L. H d r 4, Sr.
PERMIT NO. 9i
DATE
SUBDISTRICT No. 15
T. . _ .1 -e -to re yard
For Property Located at: 106 C o u n t r y s Ild e Drive I v
Owned by: Terry L Liar c, Sr Address: 105 Countryside Dri v€m, Maugansvi Z ie, MD
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee $620 0U — Date Paid 9-2i -
To connect to a public sewerageArtr,&-__c: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.
Building Permit No
Secretary -Treasurer 9� D 5
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: Dateg—
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:
DISTRIBUTION: Permittee 1 Plumbing Board 4
Field Office 1
Date
'-'ASHINGTON COU;tiTY SAND DISTRICT r4K
UASHINGTON COUNTY, MO.
Project:
MauaansvillelOrcherd Hills
11-� goR
Street (or location):
A
S015 -1-S
SANITARY SEUER LATE;_
CONSTRUCTION RECD ,D
.S I DE Oe; V c C- A 2 335
Contractor: Canes Contractors, Inc.
MH Z /Z TO MH Z/ 8
Date Installedw 7- 5' $3 _ bjv- Ste, On -rain �o°I S
WYE
SiZE
SIZE--
T'A'PE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
! EXCAU.
9 LENGTH
I "�-
LAYIi;C
LENCTiI
�v
p ��
-
*Hcrz.= Total
PVC
5 . 5()
St'd.
.
Z B
60y� z yo
S�e 35
SDe z �
Slope+ Horz=T a.
Dro
NOTES:
g 'WATER �<"- z $S BECoW SURtAe!
-O
E C A Fact
<
v —a' C cEgA4o4-r
Nc�t�TE
8 MA'IJ CoENC-IE
Depth of Cleanout S. So' S -Flew L i n
'�
Cleanout 2 '-�----•----�-�---
From /►'IA N
L a y e d n
• '/o Basement Service
/t v9. 5
MH,,' z / 7
M H;;' 2 t 8
Amounts pertaining to work completed this period, reviewed and approved.
:acrq3rs tctp,
A
Ak
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1'�$09 Contract No. SD15-1S
Property Address: 45- Countryside Drive
MH 217 tn MH 218 Dwg. #601-048
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.
R / W
e--
MH SD15-217 50'Riw 8" SAN.
IN L
POW
' R/W
opbl
335
(105)
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:
LA
Attest:
(Form WCSC-1 ) 77o - l yam'
Replaces Form WCSC-56
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:
r -
1
i op- r 0?- vi Y) h
Addre s s-.1 Ds i /7 u r r
ply, _ �
Sig;,ied Z1
"Proper-,, Owner.
i
Date
Washington County Sanitary District
33 ingest Washington Street
Hagerstown, Maryland 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 she following
location:
a0'`
Requested by Callas Contractors,
Approved by W.C.jS.D. Inspe �o _
Date c% / 6 yp
C.