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WASHINGTON COUNTY SANITAR-Y DISTRICT PERMIT NO 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 I P.O. BOX 571 DATE 1fl„l04/n_4 PERMITTO CONNECTTO PUBLIC SEWERAGE SUBDISTRICT Nm. 1 I SYSTEM Maug,"n xvill e/Q)rehard Permission is hereby given to: Pau l c - E ire r s o 1 e ftvr7 )dills For Property Located at: 132 COuntr,yside Drive, illaugansville, PJiar land 21707 Owned by: Paul S. Ebersole Address: 132 Countryside Drive Maugar;vi t le,"; Type of Connection: To Service Connection X To Main Line: Type of Service: Residential Commercial Meter Size ) Units Other Industrial Connection Fee $620.00 __ Date Paid .1 Ll/04/84 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 -Treasurer Building Permit No.1��__ INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: ��3 l�gDate 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 Plumbing Board 4 Field Office 1 "'3'i1NGTO�•1 COU,' TY SANIT^- DISTRICT UASHINGTON COUNTY, MD. Project; Street (or /4.s. R,�v/ Eb erSo I e - SANITARY 5EWC? LAiE ,' CONSTRUCTION RECtiiiC Mzucansville/Orcherd Hills S015 --1—S -- location j ; C-oy-J 1Z s=aE a2=�E Gar 3sq Contractor; Calles Contractors Inc. ,r Date Installed (o- 2q-_83 MH a 1.3 TO MH Z ¢ Wye Ste . On (lain of 4i. -7 1_ TYPE PIPE WYE SIZE— TYPE DEPTH TYPE i EXCAU. Lt1YIi�G S7ZE TYPE PIPE C.O. C.O. LATERAL 1. LENGTH LENGT11 8 Ke t JcP Herz.- Tota JC S t , , So /Z 3 S s o ¢. z. d Slope+ Horz=Tota_ NOTES: Drop 35•0 `FUF - 4-c t 30. l- 3 t r.lArEa s 4s' ec4o h $eta c G�v . G.o. 12.�W S Ido Go-jr2Y_ I sro2 -m/l. Depth of Cleanout 6 vcT.1, Flow Line - Cleanout 3a.ocF From L a y e d 000 Basement Service MH;;'.a 13 FL.o.,J MH;,t .1 14 - Amount's per%,tainninng to work completed this period, reviewed and approved. 2" c Y____. ` - _. _ �...--4 ';u In P cr Q dnam-,r..<r�or.7 1ep-,w ___.---- Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 13Ta-) Contract No. SD15-1S Property Address: 44-2- Countryside Drive MH 213 to MH 21¢ Dwg. #601-047 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. Q 359 © ( 1 (132) Q I Q _ H Ski -2 8" SAN. 50' ww ` POW TEL The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property dine 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: 6fdzA /�/iCS ��G✓l b c' d �� �- Owner (Print) 1 Owne s Signature Attest: ` as . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON d0U1VT.-'>/Si� r COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 it To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Address_ Signed Proper y Owner L-Na-te Washington County Sanitary District 33 West Washington Street: Hagerstown, Maryland 2140 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. Inspe / j Date "S I � I C