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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/ � SYSTEM
Permission is hereby given to: u r'' �;or y L L u Wi i nn M
1, PERMIT NO. 255,.
DATE `S<26-84
Hills
For Property Located at: r p p n f i LI e
Owned by: Greuny i Gwnni nghallodress: 326 Drag ¢ 1rat d O:'GeAse, AaugaRsyi l li- ,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid 9-26-��
To connect to a public sewerage r 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
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
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee n
Final Inspection Made BY: -xx.1 -z 4 • Date
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 `i'
Field Office -1
Date
'lu;nSHINGTON COUNTY SANITARY^STRICT
WASHINGTON COUNTY. MD.
Project: Maugansville/Orchard Hills SD15-1—S
Street (or location): X3902 — g F
ANIN SANITARY SEW''ER LATE''A-
CONSTRUCTION RECORD
Contractor: Callas Contractors Inc.
Date Installed J /S. /SR3
MH 3S TO itH..._.
Wye Sta. On Bain 1f25
WYE
SIZE
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
$K G z $
sot ZG
*Horz.- T al
C.
P,Uc,
�,�6 v
Stud.
ope+ Horz=Total
Drop
9.576 t
NOTES:
6Z, to LF
3-g 98 �F
00
Depth of Cleanout 6-161 SFlou Line
Cleanout From & of /►M�iNLIAIE
Layed 0 3.S ro
1. YES Basement Service
„ 3 53
(SIH;;-
Amounts pertaining to Work completed
BY %—X=L_
WCSU Inspector
MH#35 �l
this period, reviewed and approved.
Contractors Re
Auk AM%
Washing,,n County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13 `1 a7 Contract No. SD15-1 S
Property Address: Greenfield Avenue
MH 353 to MH 354 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.
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:
(Form Www -.L
Replaces Form WCSC-56
`so(3Z�OeEcVPIEL. Ave. _T/0A6 CA/� Foe
ATee A/ ro HBe-
>k=EP
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 j.,Dnditions:
Address_ 3 Kperty
Signed ner
Date //.- S-1?3
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 an two (2) percent and/or in accordance with the
above cond' ions at no change in contract price at the following
location
Requested by Callas Contractors, I c. A
Approved by W.C.S.D. In cto J \7
Date i ` 81(9-3