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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
P.O. BOX 571
SUBDISTRICT lip* 117)
PERMIT TO CONNECT TO PUBLIC SEWERAGEj-MW@@IE�ZYSTEM Maugan.sville/Orchard
Permission is hereby given to: Carolyn F l atii e rt y Hills
For Property Located at: 229 Pw1nt-wS 1,1a Ori Ve 39(� C'9
Owned by: Carglyn Flaherty Address: 229 Lour-,,ryside Urive. Maugansvi"lle, AD
Type of Connection: To Service Connection
Type of Service: Residenti$l;—
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620.0,0 _ Date Paid 10 -25 -iso
To connect to a public sewerage/fir 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.
ps-
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
Permit Fee
Final Inspection Made BY
Hagerstown, Maryland 21740
Telephone: 791-3146
-PlurrtVng Inspector
Date Z 4kr
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
F
It
Date
WASHINGTON COU^:TY
UASHINGTON COUNTY
Project: Mau
SANI*"-.DISTRICT
MD
nsville/Orchard Hills
FL'4/ri;,�61 I/
SANITARY SEWER LATE :1'A
CONSTRUCTION RECURID
015-1-
115821.+
Street (or location): -��j°. Cou.yT2�, GA= 3SZ
Contractor: Calfs Contractors, Inc.
Date Installed_31ZZI 83
./
MH Zo I TO MH 2:0Z-�1
Wye Sta . On Nlain / f• S'� , 1 1 -
WYE
SIZE JTYPE
SIZE-
PIPE
TYPE
C,O,
DEPTH
C.O.
TYPE �
L�1TEfI,�L
EXCAU.
LENGTH
LAYIPIG
L- .1
8X6 X 8
*Horz.- Total
soa 3S
G "Pvc.
SDR Zro
PV0-
St'd,
z3•o�
Slope+ Horz= c
Drop
NOTES:
C• o.
STAMn tri CpTFa�L
8 - M.9 %v
Depth of Cleanout &.37 'Flow Line
Cleanout / 8.o' From ^14;„4
Layed 0��
• Lj(o Basement Service
f59.�
MH"'' Z t
M H;,` ?o L
Amounts pertaining to work completed this period, reviewed and approved.
BY 2-
UCSD irl'spC .tor Conrrr ctors Rep.
i.
/ - ._ _. 1 I- - - ,. N
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
139' -Q Contract No. SD1 5-1 S
Property Address: '244 Countryside Drive
MH 201 to MH 202 Dwg. //601-046
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.
/ Z I I
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4 �3l l
a 00
8 �S4N F H. OTF7`FR 4I'�c l
�� 203 � �etiFRSFURR < /
a3
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o
i
THRUST BLOCKS
352
SFR (229)
FF °wcFNT MH
The undersigned agreesat the Sanitary District may
excavate an additional five (5)"*€eet 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: 9 ^ 2,Z—&Z a.K, i ,r -1&/,,e r- / >� _
Owner Prin )
,J
Owner s i ature
Attest:
Was o. SaniteCirly District
(Form WCSC-1)
Replaces Form WCSC-56
•--.. ,WASHINGTON COUNTY SANITARY DISTRICT11
I/
58
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:
mate L/— /kIP3
Washington County Sanitary District
33 West 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 the following
location:
or
Requested by Callas Contractors, Inc.
Approved by W.C.S.D, Inspec
Date