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W 4,S!,INGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE ; 4': 64
P.O. BOX 571
SUBDISTRICT >O.
PERMIT TO CONNECT TO PUBLIC SEWERAGEM.MU.SYSTEM '. ... Ile
Permission is hereby given to:
James A. Hathaway Hills
For Property Located at: 322 Greenfield Avenue, Naugansv i l le, Maryland 2,i 767
Owned by: jell es` A. Hathaway Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
P.Q. Box -:395, Kaugansvtlle, MD 21757
To Main Line:_
1) Units Other
Industrial
$620.00 Date Paid
141/22/84
To connect to a public sewerage/WaM 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.
INSPECTION: At least 48 hours notice prior to requested date of inspection,Ais required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 91-3146
Date
Plumbing I pector
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 I+ Plumbing Boa
Field Office 1
Date
WASHINGTON COUNTY SANITARY^ISTRICT
UASHINGTON COUNTY, MD.
SANITARY SEWER LATEfR L
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
t3g93 �.
Street (or location) : 0 -*-f G,?cgN F/EL n Avg
Contractor: Callas Contractors Inc.
M H 3 3"z TO MH 3 6- 3 r% —
Date Installed A56 16 1583 Wye Ste. On main
WYE SIZE-- TYPE DEPTH TYPE EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
$ x 6 x 8 6 ''s o/? z E P. V, C. *Horz.= Total
V F St' d. �F
'Z '4, 21.91
ope + HO ,x-- I ota
NOTES: I
Drop
Depth of Cleanout 6. 16 @Flow Line
Cleanout ii. 9 i ' From 7yAIm i-/ No
L a y e d @ 6 % o
•Y4-6 Basement Service
5"0R ;z_7•8R
2
MH`3 z
MH# 36"3
Amounts pertaining to Work completed this period, reviewed and approved.
l T .........
8 Y da��'� S=,� ���sz
WCSD Inspector J Contractors Kp.
r,
Property Address:
MH 352 to MH 353
C. w•
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
-32-2 Greenfield Avenue
Dwg. #601-067
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.
451
y I ( 322
co
0 — --
0
0
0
F 591.250
r --M
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:
Attest: �• -�
Wash. Cov Sanitary
(Form WCSC-1)
Replaces Form WCSC-56
trict
J4 74a cjd?-�z
Owner
(Print)
er 's 53-gy4ature
fS/�3.Z��G�EEN F6G� AUE. 00/g44S CAII'Fo,e
AM-
� ATE2A Ta BE
Q FT. �t80
WASHINGTON COUNTY SANITARY DISTRICT
1/ U
/11
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:
(--�ddress
c--Bigned
tt.224P�rope�rty011
Date //-- /,/-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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, In
Approved by W.C.S.D. Inspector C,
Date // Z9 - 8 3