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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. No.
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVJIl T€R SYSTEM m ugansviiie 0rC and
Permission is hereby given to:
a r t i n A. /381g Hii _i_ ;
For Property Located at: 13b Greenfield :avenue, iii atrygnsvitle, IYi€trylan_- G.i J i
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address
�i
Connection Fee
P-0- 283, Ma.uganSf i l l e, ,,i0 21761
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public sewerage/water 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
1)e'
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
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee /
Final Inspection Made BY: Date `
Plumbing Ins ctor
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
F
Plumbing Board
Office
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LA L IWO fig 3't-� 131. ANk C , w
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Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
17590 Contract No. SD15-1 S
'Greenfield Avenue
MZSu M11--3 Dwg. #601-066 !�
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.
7)
1
1
436 `
X -j
(135) 1 _� nv,'
1 1 0 n o4.....0H'
R/W
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: l p
+ �� Mai2-( A. Lumm
Owner Print) V—
0 er s Signature ----
r Attest:
(Form WCau--L
Replaces Form WCSC-56
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P/Aus eq roe
r6 -P-4 l `To Qt
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WASHINGTON COUNTY SANITARY DISTRICT
/A4L 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:
=UE tiv' 41tLt_m 7IS-<LILUEL DELLA
.Address_, 3 S Gt,f f,'.)Pt C 9 AVF'
.Signed l
'Propert6K Owner
Date L l l 4 In
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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 Con -
Approved by W.C.S.D. In,
Date 7La3
WASHINGTON COUNTY SANITARY STRICT
UASHINGTON COUNTY, MO.
Project:
Maucansville/Orchard Hill
S015-1-5
SANITARY SEW�R
ER L„TE
CONSTRUCTION RECORD
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Street (or location): f-9-&-cinaffN FleLo z9uc nyly' �..4etTm C;,gz- `%36
Contractor: Calks Contractors, Inc_.
1 r -nn. ,q --
M H 3 4 8 _T%8-Fi l 13 G `' ✓
Date Insta11ec'10Ee 5-i4 83 Wye Ste, On Main JA -7. 4-
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING:
LENGTH
o,u,=
C. �/510R 26*Harz.=
PVC
6VF
St'd,
38. So «
Total
38, Z-
zz P-
-W51-0p-e-+-ope + Ho - otal
Drop
NOTES:
Depth of Cleanout 10,06 ' '-Flow Line_
Cleanout '36,�Z' From ' 0T- 7"H 1 -F 11-7.9AlHoL.
Layed (R) 2 i!
i At)KAjok)& Basement Service
MH `32S
SRM. H1H'# -3 y e
Amounts pertaining to Work completed thin peri(d, reviewed and approve .
WCSU Inspector Contractors Rep.
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