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WASHINGTON COUNTY SANITARY DISTRICT ``^^��'�
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Elliott Parkway 70/81 Industrial Park Williamsport, Md
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
21795
Type of Permit RES sewer' Permit No.
Subdistrict Name �! Issue Date t'0 Mainline Contract No. `� Void Date
Building Permit No. 1,z-5 0 1 Subdistrict No.
Permission is hereby given to: _.
Property Owner: OHN P GI-TVER Co ; N(
of address: 1C:A 1 f) M_ C. a�
For property located at:
7' �U`�I-� i
Street Address
Lot No. Subdiv.
P HBPOO `, ESTATES Phase—Sec.—
hase Sec.Owner's
Owner'sAgent: JOHN
R OLIVER CO INC
Agent's Address:
LEITERSBURG PIKE
Previous Owner:
Fees Paid in Full? '
Lateral with Mainline?
Date Fees Paid
Residential EDU'S
WCSD Dist./Coll. System
Fee $
Commercial EDU'S
WCSD Ready to Serve—
Fee $
Gal/Day Allocation
WCSDFee
$
Building Number
kiwi"RS I
City of
Fee $ 420
Utility Number a '
T tai..
gl✓c:
Fee $ T 1920
Remarks v
Ci,i4iv,LCTIONS CAN BE
ljinL1E Ul '
f;UCEPFED
Y THE i.,ASl-IINGTON
COUNT r)TSTRTCT
J _ _
�$420t�.
2 FEE PAID
9.1 _ ;c� 1 , 8r:!
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH REMAINS WITH THE PROPERTY OWNER.
V
Signed (i _• Date: f=
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
// Hagerstown, Md. 21740 Phone: 791-3072
Inspection Date: 42 % Plumbing Inspector ~ /
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date.
Inspection Date:
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown City of Williamsport
WCSD Construction WCSD O&M WCSD File
Permits Office Plumbing Board Plumbing Ins
nE— A RT E
DEC 2
199
2 N
,I' 00
-
It
4
Permit No: 92-6081
Permit Type: RES - NEW
Job Address: J
Location: S-91-54 SIS HYACI14TH COURT
Parcel No: 000-00-0000-A161
Zoning Dist: RS
Applicant: OLIVER JOHN R CO INC
C/0 TAYLOR OLIVER
19733 LEITERSBURG PIKE
HAGERSTOWN, MD
Owner: OLIVER JOHN R CO INC
Contractor: OLIVER JOHN R CO INC
nescription:
21742
Applied: 08/28/1992
Approved:
Status: PENDING
Phone Number: 301-'197-0000
301-797-0000
301-797-0000
1 STORY DWELLING,FULL BASEMENT,2-CAR ATTACHED
GARAGE
*NORTHBROOK ES'TATES,LOT 9*
Valuation: 100,000,00 Construction Type: STIC
Foundation Size: 33'X 50'
of Heat ...: HEAT PUMP
Public Sewer...: Y
Public Water...: Y
Gas .............
Electric........ Y
New Baths: 2
SETBACKS
Lot Tract Area
Lot Area Per Family
Front `lard Setback
Fear Yard Setback
.eft Side Setback
R.IQht Side Setback
Lot Width
Exterior Finish.: BRICK/V SIDING
Air Conditioning: Y
Septic...........
Time Existed..:
Well .............
'Time Existed..:
Total Bedrooms: 3
New Bedrooms: 003
Proposed Minimum by Ordinance
.386 ACRE
10,000 SQ FT
,386 ACRE
10,000 SQ FT
32.00
25.00
42.00
40.00
22.00
20.00
38.00
8.00
70.00
70.00
`I-te signature below by the reviewer is an indication t! -,at the applicant
nag signed the permit application signature sheet and thereby agrees to
Perform the work in accordance with the conditions of this permit.
0110 1�0-0 REVIEWED BY;
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WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERAL
WASHINGTON COUNTY, MO. CONSTRUCTION REPORT
Project: /Vogrh 6,8178 FSTa.TaS C0/1,,crlin, .5yS re -;,,S -S-44
Street (or location): P Y AG/Nrh C04 �y" (- o> 9
Contractor: AOL $1 7 00ui//E C0-hTtatiot-c / q& Z�
Date Installed Z - 10- `IZ
MH 11411 TO MH 1161
Wye Sta. On Main I X 3 0 GT,
WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C, 0. C- 0. LATERAL LENGTH LAYING LENGTH
y" Ca.$T
PUG Horiz. = Total
$ X 4•� gSDR �'�,to D�1ss ST D. � y ` � S 9 C•F
NOTES:
DROP
Depth of Cleanout at Flow Line
Cleanout q I From C,. m a An
Loyed at A 3'0
"V 0 Basement Service
u
MH
Slope + Horiz. = Tota
MHt# //4/
Amounts pertaining to work completed this period, reviewed and approved.
By
w rj1/UL
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS - 2